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[目的]探讨急诊内镜在诊断与治疗上消化道出血中的价值;进一步了解上消化道出血的病因。[方法]对130例患者在发病24、48h内行内镜检查,对比24与48h内内镜检查的确诊率,同时进行镜下止血治疗48例。[结果]24h内进行检查的患者确诊率为98.9%,48h内检查确诊率80.6%,两者差异有统计学意义(P<0.01)。48例镜下止血均成功,消化性溃疡并出血占79.7%。[结论]急诊内镜检查在诊断与治疗上消化道出血中具有重要价值,可减少误诊误治,可镜下止血并能估计预后。消化性溃疡并出血居上消化道出血各种病因之首位。
[Objective] To explore the value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding; to further understand the etiology of upper gastrointestinal bleeding. [Method] Endoscopy was performed in 130 patients within 24 h and 48 h of onset, compared with the diagnostic accuracy of endoscopy in 24 and 48 h, and 48 patients underwent microscopic hemostasis. [Results] The diagnosis rate of patients within 24 hours was 98.9% and 80.6% within 48 hours, the difference was statistically significant (P <0.01). 48 cases of hemostasis were successful under the microscope, peptic ulcer and bleeding accounted for 79.7%. [Conclusion] The emergency endoscopy has important value in the diagnosis and treatment of upper gastrointestinal bleeding, which can reduce the misdiagnosis and mistreatment, make the hemostasis under the microscope and estimate the prognosis. Peptic ulcer bleeding and upper gastrointestinal bleeding all kinds of causes of the first place.