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目的探讨消化性溃疡出血内镜急诊止血的时机和临床效果。方法回顾分析2005年1月～2008年12月因呕血和/或黑便入院,经急诊内镜检查确诊为消化性溃疡出血患者221例。根据内镜检查时间分为48h内检查治疗组和48h后内镜检查治疗组,比较两组内镜止血效果。结果出血48h内急诊内镜检查治疗组143例,止血成功率99.3%,非急诊组78例,止血成功率89.7%,二组有显著性差异。结论对消化性溃疡出血内镜止血治疗简单有效,而且在出血48h内进行内镜止血能达到更有效的止血效果。
Objective To investigate the timing and clinical effect of endoscopic emergency bleeding in peptic ulcer patients. Methods Retrospective analysis of January 2005 ~ December 2008 due to hematemesis and / or meconium admitted to hospital, confirmed by emergency endoscopy in patients with peptic ulcer bleeding in 221 cases. According to the endoscopic examination time is divided into 48h treatment group and 48h after endoscopy treatment group, compared two groups endoscopic hemostatic effect. Results 143 cases of emergency endoscopy within 48 hours after hemorrhage were treated, the success rate of hemostasis was 99.3%, 78 cases of non-emergency group, the success rate of hemostasis was 89.7%, the two groups had significant difference. Conclusions The endoscopic hemostasis of peptic ulcer hemorrhage is simple and effective, and endoscopic hemostasis can be achieved within 48 hours after hemorrhage.