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急性上消化道出血属常见内科急诊之一,病死率高达8%~13.7%。迅速确诊病因,采取有效易行的止血措施是提高抢救成功率的关键。我院于1983年5月至1990年12月共收治急性上消化道出血病人214例。全部经急诊胃镜检查,明确病因。应用8%~10%去甲基肾上腺素冰生理盐水口服治疗,取得良好效果,有效率达95.33%。现结合文献分析报告如下。一、临床资料男性175例,女性39例,年龄最小16岁,最大86岁。首次出血距就诊时间为2~36h。
Acute upper gastrointestinal bleeding is one of the common medical emergency, case fatality rate as high as 8% to 13.7%. Rapid diagnosis of etiology, to take effective and easy to stop bleeding measures to improve the success rate of the key to success. Our hospital in May 1983 to December 1990 were treated 214 cases of acute upper gastrointestinal bleeding. All emergency gastroscopy, a clear cause. Application of 8% to 10% omethindrone hydrochloride saline oral treatment, and achieved good results, the effective rate was 95.33%. Now combined with the literature analysis report is as follows. First, the clinical data of 175 males and 39 females, the youngest 16 years old, maximum 86 years old. The first bleeding from the treatment time is 2 ~ 36h.