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目的探讨心血管疾病术后上消化道出血的内镜治疗方法和效果。方法统计2006年1月至2009年4月间沈阳军区总医院心内科、心外科患者术后出现上消化道出血采用内镜急诊止血的18位患者,回顾性分析临床资料和内镜治疗过程。结果内镜急诊救治心血管疾病术后上消化道出血患者18例,其中冠状动脉介入支架置放术后患者8例,心外科心脏术后10例。内镜止血均取得成功,1次成功止血16例,2例应用2次止血。出血类型包括溃疡形成并渗血4例,溃疡形成伴裸露血管出血8例。表现为黏膜片状充血渗血6例。应用黏膜下注射止血技术8例,止血夹止血11例,氩气止血9例。结论内镜紧急止血治疗是心血管疾病术后上消化道出血患者的首选治疗方法,其具有直观、方便、迅速、安全等优点。
Objective To investigate the endoscopic treatment of upper gastrointestinal bleeding after cardiovascular disease and its effect. Methods A total of 18 patients with upper gastrointestinal bleeding who underwent endoscopic emergency hemostasis after cardiac surgery and cardiac surgery were recruited from January 2006 to April 2009 in Shenyang Military Region General Hospital. The clinical data and endoscopic treatment were retrospectively analyzed. Results Eighteen cases of upper gastrointestinal bleeding after endoscopic emergency treatment of cardiovascular diseases were treated, including 8 cases after coronary stenting and 10 cases after cardiac surgery. Endoscopic hemostasis were successful, 1 successful hemostasis in 16 cases, 2 cases of 2 times to stop bleeding. Bleeding types include ulceration and bleeding in 4 cases, ulceration with bare vascular hemorrhage in 8 cases. The performance of mucosal patchy congestion and bleeding in 6 cases. Application of submucosal injection of hemostasis in 8 cases, hemostasis clip to stop bleeding in 11 cases, argon hemostasis in 9 cases. Conclusion Endoscopic emergency hemostasis is the preferred treatment for patients with upper gastrointestinal bleeding after cardiovascular disease. It has the advantages of being intuitive, convenient, rapid and safe.