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目的探讨急性上消化道出血的诊治方法,从而提高治愈率和降低死亡率。方法对36例急性上消化道出血病例作回顾性总结分析。结果全组病例经过正确诊断、积极的治疗与精心护理,治愈35例,死亡1例。结论在诊断方面,依据病史、临床表现,结合胃镜等辅助检查,一般即可确诊,对于病史不详、缺乏体征者,尤其是年老者易于误诊,应认真检查,以防误诊;在治疗上止血和原发病的治疗是主要的;对休克患者应积极抗休克治疗,对积极治疗24h以上仍出血不止、年龄较大疑有动脉硬化者、反复大出血或疑有癌肿者应尽早转外科治疗。
Objective To investigate the diagnosis and treatment of acute upper gastrointestinal bleeding to improve the cure rate and reduce the mortality rate. Methods 36 cases of acute upper gastrointestinal bleeding were retrospectively analyzed. Results All cases were diagnosed correctly, active treatment and meticulous care, 35 cases were cured and 1 died. Conclusion In diagnosis, based on medical history, clinical manifestations, combined with gastroscopy and other auxiliary examination, the general can be diagnosed, for unknown history, lack of signs, especially the elderly are easily misdiagnosed, should be carefully checked to prevent misdiagnosis; treatment of bleeding and The treatment of primary disease is the main; shock patients should be actively anti-shock treatment, more than 24h of active treatment is still bleeding more than the age of suspected arteriosclerosis, repeated bleeding or suspected cancer should be transferred to surgical treatment as soon as possible.