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目的探讨上消化道诊治中急诊胃镜诊治效果。方法选取上消化道出血患者80例,均为濮阳巿人民医院消化科2014年8月至2015年8月收治,依据胃镜检查时间分组,其中40例出血48h内检查,设为观察组;40例出血停止5~7d胃镜检查,设为对照组。结果观察组选取的40例上消化道出血患者,明确诊断39例,临床确诊率为97.5%;因胃镜内积血对观察产生影响1例,占2.5%;活动性出血33例,占82.5%。对照组明确诊断33例,确诊率为82.5%,7例未明确病因,占12.5%;有活动性出血14例。组间确诊率对比有统计学差异(P<0.05)。结论临床收治的上消化道出血病例,采用急诊胃镜检查,可使确诊率提高,是一项安全、易行、方便的诊治措施,对保障患者预后,有非常重要的实施价值。
Objective To investigate the diagnosis and treatment of emergency gastroscopy in the diagnosis and treatment of upper gastrointestinal tract. Methods Eighty patients with upper gastrointestinal bleeding were enrolled. All patients were admitted to Puyang Municipal People’s Hospital for Gastroenterology from August 2014 to August 2015, and were divided into gastroscopy group according to time. Forty patients Bleeding stopped 5 ~ 7d gastroscopy, as the control group. Results 40 cases of upper gastrointestinal bleeding in the observation group, a clear diagnosis of 39 cases, the clinical diagnosis rate was 97.5%; endoscopic observation of hemorrhage caused by 1 case, accounting for 2.5%; active bleeding in 33 cases, accounting for 82.5% . The control group of 33 cases were diagnosed correctly, the diagnosis rate was 82.5%, 7 cases did not have a clear cause, accounting for 12.5%; 14 cases of active bleeding. There was significant difference between the two groups (P <0.05). Conclusion The clinical cases of upper gastrointestinal bleeding, the use of emergency endoscopy, can make the diagnosis rate is a safe, easy and convenient diagnosis and treatment measures, to protect the prognosis of patients with very important implementation value.