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目的探讨急性非静脉曲张消化道出血行内镜治疗的价值。方法回顾分析2009年7月至2012年4月56例急性非静脉曲张消化道出血患者的诊疗经过。结果 56例患者中止血成功54例,1例胃底贲门腺癌,1例胃窦巨大溃疡治疗无效,即时止血率96.4%(54/56);48h再出血4例,均为消化性溃疡伴出血,再次内镜下止血成功3例,1例治疗无效,共3例治疗无效,均转外科行手术治疗。内镜治疗总有效率94.6%(53/56)。结论内镜治疗急性非静脉曲张性消化道出血是一种安全、有效、可行的方法 。
Objective To investigate the value of endoscopic treatment of acute non-variceal hemorrhage. Methods The clinical data of 56 patients with acute non-variceal gastrointestinal bleeding from July 2009 to April 2012 were retrospectively analyzed. Results In 56 patients, 54 cases were successful in stopping bleeding, 1 case had gastric cardia adenocarcinoma and 1 case had giant gastric ulcer. The immediate hemostasis rate was 96.4% (54/56) and 4 cases of rebleeding after 48 hours were all peptic ulcer Bleeding, again successfully endoscopic hemostasis in 3 cases, 1 case of treatment is invalid, a total of 3 cases were ineffective, were transferred to Surgical surgical treatment. The total effective rate of endoscopic treatment was 94.6% (53/56). Conclusion Endoscopic treatment of acute non-variceal bleeding is a safe, effective and feasible method.