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目的探讨急性上消化道出血的内科治疗方法。方法回顾性分析我院内科2008年9月至2011年12月收治的急性上消化道出血患者30例的临床资料。结果经过我科室采取积极有效、有针对性的治疗,30例急性上消化道出血患者,28例患者在入院于4小时内有效止血,有效率94%;2例患者因内科不能有效控制出血量进而转由外科进一步治疗。结论对急性上消化道出血的疾病治疗,首要的是准确及时的确诊,诊断需要综合考虑患者的临床表现、病史、体征,并结合实验室检查及内镜、钡餐等参考判断,治疗时要结合患者的突出症状表现,给予多种治疗方法,可有效及时控制出血量。
Objective To investigate the medical treatment of acute upper gastrointestinal bleeding. Methods The clinical data of 30 patients with acute upper gastrointestinal bleeding admitted from September 2008 to December 2011 in our hospital were retrospectively analyzed. Results After active and effective treatment in our department, 30 patients with acute upper gastrointestinal bleeding and 28 patients were effectively stopped bleeding within 4 hours after admission, the effective rate was 94%. Two patients were unable to effectively control the amount of bleeding due to internal medicine And then transferred by surgery for further treatment. Conclusion The treatment of acute upper gastrointestinal bleeding is the most important one in the diagnosis of acute upper gastrointestinal bleeding. The diagnosis should be based on the clinical manifestations, medical history, physical signs, combined with laboratory tests, endoscopy and barium meal, and should be combined Outstanding symptoms of patients, given a variety of treatment methods, can effectively control the amount of bleeding.