摘要
目的:探讨急诊内镜注射治疗对Forrest分级在FⅡa以上的重症出血性消化性溃疡的止血效果。方法:对1995年1月~1998年12月内镜下确认的43例重症出血性消化性溃疡(按Forrest分级均在FⅡa以上)分成两组:20例行急诊内镜下注射止血(注射组),同期内镜及临床表现相似者23例予常规抑酸止血治疗(对照组)。结果:注射组和对照组止血率分别为95%(19/20)和43.
Objective:To evaluate the effect of emergent endoscopic injection therapy on critical bleeding peptic ulcer.Methods:From January 1995 to December 1998,Fortythree patients with critical bleeding peptic ulcer were divided into two groups (according to Forrest grade ≥F Ⅱa ):20 were treated with injection therapy (injection group);other 23 only with antisecreting agents (contral).They were comparable with regard to clinical and endoscopic features (P>0.05).Results:The emergent hemostatic rates in injection therapy group and contral were 95% (19/20) and 43.48(10/23),respectively (χ 2=10.69,P<0.01).Conclusion:Emergent endoscopic injection therapy is an effective therapeatic method for acute critical bleeding peptic ucler,operative facility and safety,with a lower surgical intervention.
出处
《医师进修杂志》
2000年第8期22-24,共3页
Journal of Postgraduates of Medicine