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目的:观察立止血与凝血酶在治疗老年人上消化道出血中的疗效。方法:对诊断为上消化道出血的42例老年人胃管注入立止血溶液1KU,同时静脉注射1KU,连用1～3d;对照组40例用凝血酶溶液500U,胃管注入,1次/d,连用1～5d。结果:观察组总有效率为95.2%,对照组总有效率为67.5%。两组止血效果比较,经χ2检验,差异有统计学意义。结论:立止血治疗老年人上消化道出血疗效显著、安全、有效,值得临床推广应用。
Objective: To observe the effect of antithrombotic and thrombin in the treatment of upper gastrointestinal bleeding in the elderly. Methods: Forty-two elderly gastric cancer patients diagnosed as upper gastrointestinal bleeding were injected with 1KU of rhubarb and 1KU of intravenous injection for 1 ~ 3d consecutively. In the control group, 40 patients were treated with 500U of thrombin solution, gastric tube and 1 / d , Used in conjunction 1 ~ 5d. Results: The total effective rate was 95.2% in the observation group and 67.5% in the control group. The two groups of hemostatic effect comparison, χ2 test, the difference was statistically significant. Conclusion: Therapeutic effect of hemostasis on the upper gastrointestinal hemorrhage in the elderly is significant, safe and effective and worthy of clinical application.