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上消化道出血为内科常见急症,由于目前临床所用止血剂治疗上消化道出血的效果不甚满意,我们对于内科常规综合治疗无效的难治性上消化道出血的患者加用立止血治疗,经临床观察,疗效满意,现报道如下。 本组病例22例,均系住院患者,男性12例、女性10例。年龄17～75岁,平均46岁。全部病例均经胃镜检查确诊为急性上消化道出血。其中9例(占病例数的40％)出血量大于1000毫升。出血原因:肝硬化食道静脉曲张破裂4例;十二指肠溃疡14例;胃溃疡3例;糜烂性胃炎1例。
Upper gastrointestinal bleeding as a common medical emergency, due to the current clinical use of hemostatic agents in the treatment of upper gastrointestinal bleeding is not satisfied with the results, we are not effective for the conventional medical treatment of refractory upper gastrointestinal bleeding plus Ritan blood treatment, Clinical observation, satisfactory results are reported below. The group of 22 patients, all hospitalized patients, 12 males and 10 females. Age 17 to 75 years old, average 46 years old. All cases were confirmed by gastroscopy for acute upper gastrointestinal bleeding. Nine of them (40% of cases) had a blood loss greater than 1000 ml. Causes of bleeding: cirrhosis of the esophageal varices in 4 cases; 14 cases of duodenal ulcer; 3 cases of gastric ulcer; erosive gastritis in 1 case.