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目的探究内镜检查在非静脉曲张性上消化道出血(NVUGIB)诊疗中的价值。方法 90例NVUGIB患者,均接受内镜检查和治疗。观察不同年龄段患者的病因以及预后、转归。结果随着年龄的增长,病因中消化性溃疡和急性胃黏膜病变所占比例逐渐降低,而慢性炎症和消化道肿瘤所占比例则逐渐提高,比较差异具有统计学意义(P<0.05)。90例患者经内镜治疗后,有88例(97.78%)患者止血成功,仅有2例(2.22%)患者因在止血成功后24 h内出现再出血而行外科手术治疗。90例患者中未出现吸入性肺炎、穿孔等严重并发症。结论内镜检查有助于临床医师明确NVUGIB患者的病因以及出血的具体状况,同时在内镜下治疗能快速止血,安全性高,值得在临床诊疗中推广。
Objective To explore the value of endoscopy in the diagnosis and treatment of non-variceal upper gastrointestinal bleeding (NVUGIB). Methods 90 patients with NVUGIB were underwent endoscopy and treatment. Observe the etiology and prognosis of patients of different ages, outcome. Results With the increase of age, the proportion of peptic ulcer and acute gastric mucosal lesion gradually decreased, while the proportion of chronic inflammation and digestive tract tumors gradually increased. The difference was statistically significant (P <0.05). Of the 90 patients who underwent endoscopic therapy, 88 (97.78%) had successful hemostasis and only 2 (2.22%) had surgery due to rebleeding within 24 h of successful hemostasis. 90 patients did not appear aspiration pneumonia, perforation and other serious complications. Conclusion Endoscopy can help clinicians to identify the etiology of NVUGIB patients and the specific conditions of hemorrhage. At the same time, endoscopic treatment can stop bleeding quickly and safely, which is worth to be popularized in clinical treatment.