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1987年9月至1989年6月,我们采用内镜下局部注射无水酒精治疗胃十二指肠等部位出血68例,取得良好疗效。现报告如下: 一、一般资料治疗组男44例,女24例。年龄 17～79岁。病因有胃溃疡25例、十二指肠溃疡19例、急性胃粘膜病变9例、责门粘膜撕裂综合征8例、胃癌4例、残胃吻合口溃疡3例。出血量超过1000ml者36例,2500ml以上者12例。入院时血红蛋白35～110g/L,平均78.6g/L.另从1985年3月至1987年9月间住院的胃十二指肠出血病人中,配对选择60例作为对照组.两组在性别、年龄、病因及病情方面基本相近. 二、急症镜检治疗组全部病例均予快速输液,补充血容量,大出血或休克者行双管输血输液,并保留静脉输液通道。术前按内镜检查常规用药。不论休克纠正与否,一律在入院后12小时内完成内镜检查和治疗.采用斜视镜全面观察食管、胃及十二
September 1987 to June 1989, we used endoscopic injection of anhydrous alcohol in the treatment of gastroduodenal bleeding 68 cases, and achieved good results. Now report as follows: First, the general information treatment group 44 males and 24 females. Age 17 to 79 years old. There were 25 cases of gastric ulcer, 19 cases of duodenal ulcer, 9 cases of acute gastric mucosal lesions, 8 cases of mucosal tearing syndrome, 4 cases of gastric cancer and 3 cases of gastric anastomotic ulcer. 36 cases of bleeding more than 1000ml, 2500ml more than 12 cases. Hemoglobin admission 35 ~ 110g / L, an average of 78.6g / L. Another from March 1985 to September 1987 hospitalized patients with gastro-duodenal bleeding, paired selection of 60 cases as a control group.The two groups in the gender , Age, etiology and disease were similar.Second, acute microscopy treatment group, all patients were given rapid infusion, blood volume, bleeding or shock were double-tube transfusion, and retain the intravenous infusion channel. Preoperative endoscopic examination by conventional medication. Regardless of whether the shock correction or not, all within 12 hours after admission to complete endoscopic examination and treatment of esophageal, stomach and twelve