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上消化道大出血临床上十分常见,以往对其治疗多采用保守疗法或外科手术。近年来,随着急诊内镜检查的普及,采用经内镜治疗上消化道出血的技术得到迅速发展。我院采用内镜直视下直接喷洒去甲肾上腺素、凝血酶,抢救上消化道大出血(非食道静脉曲张破裂出血)15例,疗效显著,报告如下。 1 材料与方法:病例;1987—10～1991—10收治上消化道大出血26例(不含食道静脉曲张出血)。其中15例采用内镜下直接喷洒药物止血,11例采用内科保守疗法治疗为对照组。治疗组均经内镜检查明确诊断,并见有病灶活动出血或显性出血。其中胃溃疡4例,十二指肠球
Upper gastrointestinal bleeding is clinically very common, in the past for the treatment of more conservative treatment or surgery. In recent years, with the popularity of emergency endoscopy, the use of endoscopic treatment of upper gastrointestinal bleeding has been rapidly developed. In our hospital, 15 cases were directly sprayed with norepinephrine, thrombin, and rescue upper gastrointestinal bleeding (non-esophageal variceal bleeding) under endoscopy. The results are as follows. 1 Materials and Methods: Case; 1987-10 ~ 1991-10 admitted to the upper gastrointestinal bleeding in 26 cases (excluding esophageal varices bleeding). Among them, 15 patients received endoscopic direct spraying of drug to stop bleeding, and 11 patients were treated with conservative medical treatment as control group. The treatment group were diagnosed by endoscopy, and see the bleeding lesions or dominant bleeding. Gastric ulcer in 4 cases, duodenal bulb