摘要
目的:探讨成立紧急医疗救护小组(MET)在急诊胃镜诊治上消化大出血患者中的临床价值。方法:回顾性分析2014-09-2015-02我院启动MET救治的49例静脉曲张性上消化道大出血患者的临床资料,其中30例采用食管静脉曲张(EV)套扎联合胃底静脉组织胶注射,10例采用胃底组织胶注射,9例采用EV套扎。结果:成立MET后患者就诊至开始内镜治疗的平均时间为(43±21)min,术后ICU观察时间(32±9)h,1例于术后24h内死亡,1例于术后2周再出血死亡,急诊内镜止血有效率98%(48/49),49例均成功进行了内镜下治疗,有效率为96%(47/49),术中食管血栓头破裂大出血3例,注射硬化剂治疗后成功止血,术后未见严重并发症。结论:成立MET可实现静脉曲张性上消化道大出血迅速止血,对降低病死率和并发症发生率有着重要的临床意义,值得在临床推广应用。
Objective：To explore the clinical value of establishment of medical emergency team（MET）on emergency gastroscopy diagnosis and treatment of patients with upper gastrointestinal bleeding.Method：The clinical data of 49 patients with esophageal varices bleeding who treated by MET were retrospectively studied in our hospital from September 2014 to February 2015.Among of them,30 cases were treated by esophageal variceal ligation combined with gastric fundus ve in tissue adhesive injection,10 cases were treated by gastric tissue adhesive injection,9cases were treated by esophageal variceal ligation.Result：The average time from going to the hospital to endoscopic treatment was（43±21）min after establishment of MET,and ICU length of stay was（32±9）h.One patient died within 24 hafter operation,one cases died from bleeding again within two weeks after operation.The success rate of emergency endoscopic hemostatic was 98%（48/49）.Conclusion：Establishment of MET can reduce mortality of variceal hemorrhage of upper digestive tract and can reach the goals of fast hemostasis and fewer complications.
出处
《临床急诊杂志》
CAS
2016年第5期378-380,共3页
Journal of Clinical Emergency
