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急性上消化出血是内科常见的急症之一。能引起急性上消化道出血的原因有多种多样。近几年来虽有内窥镜、血管造影诊断技术的开展,但误诊率仍高,有者甚至手术后也无法确定出血的原因与部位。在治疗上,由于手术的进步,动脉内灌注药物止血、窥镜下止血、硬化剂局部注射止血、高频电凝止血及激光治疗上消化道出血等治疗方法的实施,但总的死亡率也还比较高。因此,如何提高急性上消化道出血的诊断,以及进行有效的治疗,仍然是摆在我们面前的一个艰巨任务。
Acute upper gastrointestinal bleeding is one of the common medical emergency. Acute upper gastrointestinal bleeding can cause a variety of reasons. In recent years, although endoscopy, angiography diagnostic techniques, but the misdiagnosis rate is still high, some even after surgery can not determine the cause and location of bleeding. In the treatment, due to the progress of surgery, intra-arterial infusion of drugs to stop bleeding, under endoscopic hemostasis, sclerotherapy local injection of hemostasis, high-frequency coagulation and laser treatment of upper gastrointestinal bleeding and other treatment methods, but the overall mortality rate Still relatively high. Therefore, how to improve the diagnosis of acute upper gastrointestinal bleeding and effective treatment remains an arduous task before us.