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目的探讨奥曲肽联合奥美拉唑治疗上消化道出血的疗效。方法给予奥曲肽0.05mg/h持续静脉滴注,奥美拉唑40mg加生理盐水100ml静脉滴注,2次/d。患者出血停止后奥曲肽用量逐渐减少。结果应用奥曲肽联合奥美拉唑治疗64例上消化道大出血患者,显效37例,占57.8%,有效18例,占28.1%,无效9例,占14.1%。结论奥美拉唑联合奥曲肽治疗上消化道大出血具有止血快、再出血率低及止血效果好等特点。
Objective To investigate the efficacy of octreotide combined with omeprazole in the treatment of upper gastrointestinal bleeding. Methods Omeprazole 0.05mg / h continuous intravenous infusion, omeprazole 40mg plus saline 100ml intravenous infusion, 2 times / d. The amount of octreotide used after patients stopped bleeding gradually decreased. Results The application of octreotide combined with omeprazole in 64 patients with upper gastrointestinal bleeding, markedly effective in 37 cases, accounting for 57.8%, 18 cases were effective, accounting for 28.1%, 9 cases ineffective, accounting for 14.1%. Conclusion Omeprazole combined with octreotide in the treatment of upper gastrointestinal bleeding with fast bleeding, rebleeding rate and hemostatic effect and so on.