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Emergent gastroscopy in the treatment of acute nonvariceal upper gastrointestinal bleeding: an analysis of 42 cases
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 11
- DOI:
- 10.3969/j.issn.1009-3079.2007.11.020
- Key Word:
- 急诊胃镜;肾上腺素;热凝固法;急性上消化道出血
Abstract： 目的:观察注射肾上腺素及热探头凝固疗法对上消化道非曲张静脉破裂出血的治疗作用.方法:对42例上消化道活动性出血患者(13例胃溃疡,25例十二指肠球部溃疡,4例Dieulafoy's病)进行局部注射肾上腺素及热探头凝固治疗.结果:42例患者经首次治疗后,有38例(90.5%)出血停止(消化性溃疡35/38,Dieulafoy's病3/4),再出血率为23.7%(9/38).手术率为19.0%(8/42),无死亡发生.结论:局部注射肾上腺素及热探头凝固法是治疗上消化道非静脉曲张破裂出血的有效手段.
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