摘要
目的:对不同时机急诊胃镜检查对肝硬化合并上消化道出血的诊疗价值进行研究。方法:以我科2013年3月~2015年3月接收的78例肝硬化合并上消化道出血患者为研究对象,根据入院后6h内、6~12h及12~48h进行胃镜检查时机,将其分别分为I组(26例)、II组(26例)、III组(26例),并根据检查结果给予相应治疗。对各组患者出血部位检出率、治疗效果进行对比。结果:在出血部位检出率上,I组患者出血部位检出率明显高于II组(P<0.05)、III组患者(P<0.05),II组患者出血部位检出率明显高于III组(P<0.05);在治疗效果上,I组与II组患者、II组与III组患者在成功止血率上差异较小(P>0.05),而I组患者在成功止血率上明显高于III组(P<0.05);在短期并发症发生率上,I组与II组患者、II组与III组患者在并发症发生率上差异较小(P>0.05),而I组患者在并发症发生率上明显高于III组(P<0.05)。结论:6h内与6~12h急诊胃镜检查在肝硬化合并消化道出血诊疗方面更具优势,胃镜检查时间是影响患者出血部位检出率、治疗效果与预后的重要因素,应尽早在12h内给予患者急诊胃镜检查。
Objective： To study the value and research of different timing of emergency gastroscopy on hepatocirrhosis with upper gastrointestinal hemorrhage diagnosis. Methods： 78 cases of liver cirrhosis combined with upper gastrointestinal bleeding were received in our department from March 2013 to March 2015. According to the time of gastroscopy examination in 6 h,6 ~ 12 h and 12 ~ 48 h after admission,they were divided into I group（ 26 cases）,II group（ 26 cases） and III group（ 26 cases）,and the corresponding treatment was given according to the results of the examination. Of all patients bleeding rate and treatment effect were compared. Results： The detection rate of bleeding site in group I was significantly higher than that in group II and group III（ P〈0. 05）. while,group II was significantly higher than that in group III（ P〈0. 05）; Compared with group II,group I and group II were all smaller in the difference of successful hemostasis rate and the incidence of short-term complications（ P〉0. 05）,but the successful hemostasis rate and incidence of short-term complications of group I were significantly higher than that of group III（ P〈0. 05）. Conclusion： Emergency gastroscopy in 6 h and 6 ~ 12 h has a better advantage in diagnosis and treatment of liver cirrhosis with digestive tract bleeding. The time of gastroscopy is an important factor affecting the detection rate of the bleeding site,the effect of treatment and the prognosis of the prognosis. The patient should be given an emergency gastroscopy in12 h as soon as possible.
作者
赵雅莹
王哲民
梅丽红
方亚平
ZHAO Ya-ying;WANG Zhe-min;MEI Li-hong(Department of digestive diseases,the people＇s Hospital of Lin＇an City（Lin＇an Zhe-jiang,311300）China)
出处
《中西医结合肝病杂志》
CAS
2018年第3期171-172,共2页
Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
关键词
肝硬化
上消化出血
胃镜检查
不同时机
诊疗价值
upper gastrointestinal hemorrhage
Gastroscopy
Different time
Clinical value
