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对急性上消化道出血428例进行紧急胃镜检查,360例同时胃镜局部止血,总有效率为86.9%。其中用8mg%去甲肾上腺素治疗260例,有效率达86.2%,36例用药后再出血,5%孟氏液喷洒治疗46例,有效率82.6%;而10%孟氏液喷洒治疗大出血23例,有效率达91.3%,用8mg%去甲肾上腺素+5%孟氏液治疗的大出血27例,有效率为96.3%。我们还对局部注射无水乙醇治疗大出血进行试探,4例均告成功。此外,还经内镜对造成出血病变的原因如胃石、残留缝线等进行了镜下去除。
Emergency acute gastroscopy was performed on 428 cases of acute upper gastrointestinal bleeding and 360 cases of local hemostasis by gastroscopy at a total effective rate of 86.9%. Among them, 260 cases were treated with 8mg% norepinephrine, the effective rate was 86.2%, 36 cases were treated with hemorrhage, 46% sprayed with 5% Monteggia, the effective rate was 82.6%; while 10% Cases, the effective rate of 91.3%, with 8mg% norepinephrine + 5% Monteggia treatment of bleeding in 27 cases, the effective rate was 96.3%. We also test the local injection of absolute ethanol in the treatment of bleeding, 4 cases were successful. In addition, the endoscopic causes of hemorrhagic lesions such as gastritis, residual sutures were removed under the microscope.