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目的探讨上消化道出血内镜检查及临床治疗。方法 60例患者中,43例肝硬化食管胃底静脉曲张破裂出血患者根据病情局部止血治疗及降低门脉压力减少门脉及侧支血流量;17例非曲张破裂出血患者通过抑制胃酸分泌及内镜直视下局部喷洒药液治疗。结果 60例患者中,显效36例,有效18例,无效6例,总有效率为90%。结论积极治疗原发病是预防上消化道出血的关键,应针对不同的病因采取相应的预防及治疗措施。
Objective To investigate the endoscopy and clinical treatment of upper gastrointestinal bleeding. Methods Sixty-three patients with esophageal and gastric variceal bleeding were treated with local hemostasis and portal pressure to reduce portal and collateral blood flow in 60 patients. Seventeen patients with non-variceal bleeding were treated by inhibiting gastric acid secretion and Mirror under the local spray liquid treatment. Results Among the 60 patients, 36 were markedly effective, 18 were effective, 6 were ineffective and the total effective rate was 90%. Conclusion Active treatment of the primary disease is the key to preventing upper gastrointestinal bleeding. Different preventive and therapeutic measures should be taken according to different causes.