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上消化道出血是儿科常见急诊之一,以往检查常在出血制止、粪便隐血转阴后进行,病变检出率低,随着急诊胃镜的开展和内镜医师操作水平的日益提高,诊断率显著上升,同时对活动性出血者,给予凝血酶喷洒止血治疗,效果满意。现报告如下。 1 对象及方法 1.1 对象:本组男33例,女17例,男女之比为2:1,年龄最大15岁,最小15个月,6～13岁居多。临床表现黑便,呕血或二者均有,急性呕血24例(47％),解柏油样黑便26例(53％),全组病例均有中度以上贫血,并以急性上消化道出血急诊入院,血红蛋白40～70g/L。
Upper gastrointestinal bleeding is one of the common pediatric emergency, check in the past often stop bleeding, fecal occult blood turned negative, the detection rate is low, with the emergency endoscopy and endoscopic surgeons operating levels are increasing, the diagnostic rate was significantly Rise, at the same time, active bleeding, given thrombin spraying hemostasis, the effect is satisfactory. The report is as follows. 1 Subjects and methods 1.1 Object: The group of 33 males and 17 females, male to female ratio of 2: 1, the oldest 15 years old, minimum 15 months, mostly 6 to 13 years old. Clinical manifestations of melena, hematemesis or both, 24 cases of acute hematemesis (47%), 26 cases of asparagine solution (53%), all patients had moderate to severe anemia and acute upper gastrointestinal bleeding Emergency admission, hemoglobin 40 ~ 70g / L.