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目的:探讨电子胃镜对上消化道出血病因的诊断价值及镜下治疗效果。方法:对251例上消化道出血病人行电子胃镜检查,明确出血原因及部位,并立即进行镜下治疗,。按不同病因、病变部位,使用局部喷药、注射药物,热凝、套扎等不同止血方法治疗。结果:251例上消化道出血病例中:检查出血原因依次为消化性溃疡60.5%,急性胃粘膜病变23.5%,食道静脉曲张破裂出血及息肉肿瘤等其他病变13.1%,胃镜检查发现出血原因者97.2%,并立即止血,内镜下喷洒108例、高频电凝98例、套扎6例,止血后予以押酸,保护胃粘膜治疗,24h内活动性出血均停止。结论:电子胃镜对上消化道出血病因诊断及时,定位准确,止血迅速,具有出血灶检出率高、止血治疗快速有效的特点。
Objective: To investigate the diagnostic value of electronic gastroscope for the etiology of upper gastrointestinal bleeding and the effect of microscopic treatment. Methods: 251 cases of upper gastrointestinal bleeding patients underwent endoscopy, identify the cause and location of bleeding, and immediately underwent microscopic treatment. According to different causes, lesions, the use of local spraying, injection of drugs, heat coagulation, ligation and other different hemostatic treatment. Results: Of the 251 cases of upper gastrointestinal bleeding, the causes of bleeding were 60.5%, 23.5% of acute gastric mucosal lesions, 13.1% of esophageal variceal bleeding and other lesions of polyp tumors, the cause of bleeding was found by gastroscopy 97.2 %, And immediately stop bleeding, endoscopic spray 108 cases, 98 cases of high frequency electrocoagulation, ligation in 6 cases, to stop bleeding after acid, gastric mucosal protection, 24h of active bleeding were stopped. Conclusion: Electron gastroscope on the etiology of upper gastrointestinal bleeding diagnosis, accurate positioning, rapid hemostasis, with a high detection rate of hemorrhage, bleeding fast and effective treatment.