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对临床上有呕血或黑便等显性出血史的195例消化性溃疡并出血患者在急性出血期进行了急症内镜检查,溃疡有活动性出血征者8例,近期出血征者12例,来观察到出血征者175例,分别占总例数的4.1％,6.2％与89.7％。195例共检出溃疡304个,其中胃部134个,十二指肠170个。溃疡出血以单发溃疡为多见,十二指肠溃疡较胃溃疡多见。不论溃疡发生在胃或十二指肠,均以直径在0.6～1.0cm者为多。提示重视和加强溃疡活动期治疗,尽早选用作用强、见效快、愈合率高的抗溃疡药物治疗及做好溃疡愈合后的巩固治疗,不仅可以降低溃疡复发,而且对预防并发出血亦有重要意义。
On the clinical history of hematemesis or melena and other obvious bleeding history of 195 cases of peptic ulcer and bleeding in patients with acute bleeding during an emergency endoscopy, ulcer active bleeding in 8 cases, 12 cases of recent bleeding, 175 cases of bleeding were observed, accounting for 4.1%, 6.2% and 89.7% of the total cases, respectively. A total of 195 ulcers were detected in 304 cases, including 134 stomach and 170 duodenum. Ulcer bleeding is more common in single ulcer, duodenal ulcer more common than gastric ulcer. Regardless of ulcer occurred in the stomach or duodenum, are more than 0.6 ~ 1.0cm in diameter are more. Prompt attention and strengthen the active treatment of ulcer activity, the early selection of strong, quick, high healing rate of anti-ulcer drug treatment and do a solid ulcer healing, not only can reduce the recurrence of ulcers, but also for the prevention of concurrent bleeding is also significant .