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目的探讨消化道出血采用内镜下止血夹治疗的临床效果。方法选择我院2011年6月-2012年5月收治的上消化道出血患者50例,采用内镜下止血夹治疗,回顾分析其临床资料。结果止血首次成功率为100%,共用止血夹125枚,止血72h内发生再出血2例,分别为十二指肠乳头切开后及吻合口溃疡,再出血率4%,均未转外科治疗,8例患者止血后需输血救治,无其它并发症发生。结论消化道出血采用内镜下止血夹治疗可显著降低再出血率及并发症发生率,提高止血成功率,使救治效果及生存质量得到较大改善。
Objective To investigate the clinical effect of endoscopic hemostatic clip in the treatment of gastrointestinal bleeding. Methods Fifty patients with upper gastrointestinal bleeding admitted from June 2011 to May 2012 in our hospital were treated with endoscopic hemostatic clip, and the clinical data were retrospectively analyzed. Results The first successful rate of hemostasis was 100%. There were 125 hemostatic clips in common and 2 hemorrhage occurred within 72 h of hemostasis. After hemorrhage of duodenal papilla and anastomotic ulcer, the rate of rebleeding was 4% , 8 patients needed blood transfusions after hemostasis, no other complications occurred. Conclusions Gastrointestinal hemorrhage with endoscopic treatment of hemostatic clip can significantly reduce the rate of rebleeding and complications, improve the success rate of hemostasis, so that the treatment effect and quality of life have been greatly improved.