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目前,有许多内镜止血技术可用于消化性溃疡出血,然而,由于缺乏对照研究,难于判断其真正价值。作者对消化性溃疡并活动性出血或有近期出血征象者采用局部注射肾上腺素和聚乙二醇单十二醚(polidocano1)治疗,并进行了前瞻性随机研究。病例和方法试验对象为1986年12月～1987年12月期间所有胃、十二指肠溃疡出血并经急诊内镜证明有活动性出血,可见血管暴露或红色血凝块的溃疡的患者。此期间共有242例因上消化道出血行紧急内镜检查,其中72例因消化性病损导致出血,包括活动性出血21例、血管暴露38例、红色血凝块13例被列入本试验,72例随机分成两组。A组36例,为内镜治疗组;B组36例,为药物治疗组。两组性别、年龄、病
Currently, there are many endoscopic hemostasis techniques available for peptic ulcer bleeding, however, due to the lack of controlled studies, it is difficult to judge its true value. The authors of peptic ulcer with active bleeding or signs of recent bleeding were treated with local injection of epinephrine and polyethylene glycol monolaurate (polidocano1) treatment, and a prospective randomized study. Cases and Methods The subjects were all patients with bleeding from the stomach and duodenal ulcer from December 1986 to December 1987 and active bleeding confirmed by emergency endoscopy, showing vascular exposure or ulceration of red blood clots. During this period a total of 242 cases of emergency endoscopy due to upper gastrointestinal bleeding, of which 72 cases of bleeding caused by digestive lesions, including 21 cases of active bleeding, vascular exposure in 38 cases, 13 cases of red blood clots were included in this test, 72 cases were randomly divided into two groups. A group of 36 cases, endoscopic treatment group; B group 36 cases, for the drug treatment group. Two groups of gender, age, disease