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目的:探讨急诊胃镜在上消化道非静脉曲张性出血诊断治疗中的应用价值。方法:回顾性分析61例上消化道非静脉曲张性出血患者胃镜下治疗效果。结果:61例患者中一次性止血成功55例(90.16%),5例经2次胃镜下止血成功(8.19%)。1例死亡(1.6%)。出血主要原因依次为消化性溃疡,急性糜烂出血性胃炎,贲门及胃恶性肿瘤,Dieulafoy病。结论:胃镜是诊断治疗上消化道出血的首选方法。
Objective: To evaluate the value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal non-variceal hemorrhage. Methods: A retrospective analysis of 61 cases of upper gastrointestinal non-variceal bleeding patients underwent endoscopic treatment. Results: Of the 61 patients, 55 (90.16%) had successful hemostasis at one time and 5 (8.19%) had successful hemostasis by 2 endoscopy. One patient died (1.6%). The main causes of bleeding followed by peptic ulcer, acute erosion of hemorrhagic gastritis, cardia and stomach cancer, Dieulafoy disease. Conclusion: Gastroscopy is the preferred method of diagnosis and treatment of upper gastrointestinal bleeding.