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目的评价孟液喷洒和肾上腺素注射对消化性溃疡出血的止血效果。方法上消化道溃疡出血患者110例,行紧急内镜检查和喷洒孟氏液或注射1:10000肾上腺素止血,比较即刻止血率、再出血率和住院死亡率。结果肾上腺素止血率为98.3%,明显优于孟氏液的88.0%(P<0.05),前者的再出血率是5%,明显低于后者的18%(P<0.05)。两组无死亡患者。结论局部注射1:10000肾上腺素对消化性溃疡出血的控制率高于孟氏液法。
Objective To evaluate the hemostatic effect of spraying Meng-liquid and epinephrine injection on peptic ulcer bleeding. Methods One hundred and ten patients with upper gastrointestinal ulcer bleeding underwent emergency endoscopy and 1: 10000 epinephrine injection with Monte Carlo injection. The immediate hemostasis rate, rebleeding rate and in-hospital mortality rate were compared. Results The bleeding rate of epinephrine was 98.3%, which was significantly better than that of Monte Carlo (88.0%) (P <0.05). The rate of rebleeding was 5% and significantly lower than that of the latter 18% (P <0.05). No death in both groups. Conclusion Local injection of 1: 10000 epinephrine on peptic ulcer bleeding control rate is higher than the Monteggia method.