Analysis of the curative effect of adrenaline injection combined with titanium clips by gastroendoscopy for acute nonvariceal upper gastrointestinal bleeding

( views:144, downloads:0 )
ZHANG Wen-li(Department of Gastroenterology, The First People 's Hospital of Yibin, Yibin, Sichuan 644000, China)
Journal Title:
Volume 17, Issue 15, 2010
Key Word:
Gastrointestinal bleeding;Titanium clips;Adrenaline

Abstract: Objective To evaluate the curative effect of titanium clips and adrenaline injection by gastroen-doscopy for acute nonvariceal upper gastrointestinal bleeding ( ANVUGIB). Methods 65 patients with ANVUGIB were randomly divided into group of titanium clips(31 cases) and group of injection combined with titanium clips(34 cases) for treatment of bleeding. The rate of curative effect of hemostatic and rehaemorrhagia was compared. Results All the patients of the two groups were succeed at the first time hematischesis, the hemostatic rates were all 100%. The titanium clips group has 6 cases rebleeding,and the rehaemorrhagia rate was 19.4% ,the injection combined with titanium clips group has 1 case rebleeding, and the rehaemorrhagia rate was 2. 9%. There was significant difference between the two groups. Conclusions The curative effect of injection with titanium clips was reliable, and was superior to treatment with titanium clips alone.

  • [1]Fred E Silverstein,Guido NJ Tytgal.胃肠道内窥镜检查学.3版.天津:天津科技翻译出版公司,2003:129-130.
  • [2]Forrest JAH,Finlayson NDC,Shearman DJV.Endoscopy in gastrointestinal bleeding.Lancet,1974,2(6):394.
  • [3]Lee KJ,H Kim,KB Hahm,et a1.比较内镜下注射N-J基-2-氰基丙稀酸树酯和高张盐水-肾上腺索治疗消化性溃疡出血的随机试验.Endoscopy(中文版),2002,1(1):22-28.
  • [4]中华内科杂志编委会.急性非静脉曲张性上消化道出血诊治指南(草案).中华内科杂志,2005,44(1):73-76.
  • [5]陆华生,钱俊波,陈天敏,等.金属钛夹治疗急性消化道出血48例报告.中国内镜杂志,2004,10(9):84-88.
  • [6]樊超强,王雷,任玮,等.胃镜下不同方法治疗急性非静脉曲张上消化道出血的疗效分析.第三军医大学学报,2009,31(13):1312-1315.
  • [7]童志勇.上消化道出血急诊胃镜检查的经济学分析.中国基层医药,2009,16(6):969-970.
  • [8]李闻,钟尚志.急诊内镜治疗非静脉曲张性上消化道出血.中国内镜杂志,2007,1(3):54-59.
WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615