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目的探讨上消化道急性应激性粘膜病变出血患者的内镜诊断和治疗。方法对上消化道急性应激性粘膜病变出血患者在 24小时内急查内镜，并进行镜下止血及其他治疗。结果 30例患者中一般性出血 20例，大出血 10例，其病变内镜下表现为 6种类型。单纯内镜下止血 7例全部有效，内镜下止血加静脉止血治疗 10例亦全部成功，内镜下止血加静脉止血加经胃管止血治疗 10例中 8例有效、死亡 2例，有 3例重症患者虽经内、外科综合治疗仍死亡 2例。结论急诊内镜不仅是上消化道急性应激性粘膜病变出血准确可靠的诊断手段，而且也是快速有效的治疗方法。
Objective To investigate the endoscopic diagnosis and treatment of patients with acute irritable mucosal hemorrhage in upper gastrointestinal tract. Methods Acute irritable mucosal lesions in patients with upper gastrointestinal bleeding in emergency within 24 hours of endoscopic and endoscopic hemostasis and other treatment. Results Of the 30 patients, there were 20 cases of general bleeding and 10 cases of hemorrhage. There were 6 types of endoscopic lesions. Endoscopic hemostasis were all effective in 7 cases, endoscopic hemostasis plus venous hemostasis in 10 cases were all successful, endoscopic hemostasis plus venous hemostasis plus gastric bleeding in 10 cases of 8 cases were effective, 2 died, 3 Cases of severe patients despite the internal and surgical treatment were still 2 cases of death. Conclusion Emergency endoscopy is not only an accurate and reliable diagnostic method for the hemorrhage of acute stress mucosal lesions in the upper gastrointestinal tract, but also a quick and effective treatment.