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内镜下局部喷洒凝血酶治疗活动性胃肠道出血的临床观察 被引量:2

Clinical observation of endoscope-guided thrombin spraying in the treatment of active gastrointestinal hemorrhage
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摘要 目的:探讨内镜下喷洒凝血酶治疗活动性胃肠道出血的疗效。方法:将90例活动性胃肠道出血患者随机分为两组,对照组54例给予常规止血,凝血酶组36例在常规止血的基础上通过内镜给予凝血酶,观察并比较两组术后止血效果。结果:凝血酶治疗活动性胃肠道出血总有效率94.4%,对照组治疗活动性胃肠道出血总有效率仅25.9%,两组差异有统计学意义(P<0.01)。结论:凝血酶治疗活动性胃肠道出血疗效好,无不良反应。 Objective:To explore the efficacy of endoscope-guided thrombin spaying in the treatment of active gastrointestinal hemorrhage. Methods:Ninety cases with active gastrointestinal hemorrhage were randomly assigned to two groups, the 54 cases in the control group were given the routine hemostatic treatment,to the 36 cases in the thrombin group, thrombin was administered by endoscopy in addition to the routine hemostatic treatment. The hemostatic effects of the two groups were observed and compared. Results:The total effective rate was 94.4% in the thrombin group, with significant difference compared with that of the control group (25.9%) (P 〈 0.01 ). Conclusions:Thrombin in the treatment of active gastrointestinal hemorrhage is effective and without side effect.
作者 陈立平
机构地区 武冈市人民医院
出处 《腹腔镜外科杂志》 2009年第6期416-417,共2页 Journal of Laparoscopic Surgery
关键词 内窥镜检查 凝血酶 上消化道出血 治疗结果 Endoscopy Thrombin Gastrointestinal hemorrhage Treatment outcome
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