急性非静脉曲张性上消化道出血内镜介入治疗的临床疗效观察(1)
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【摘要】目的：为进一步观察了解临床中通过内窥镜介入治疗急性非静脉曲张性上消化道出血取得疗效和各相关因素之间的影响，以方便临床中制定合理的治疗方案。方法：选取我院在2009年1月～2011年1月收治的82例急性非静脉曲张性上消化道出血患者，对患者的临床资料进行回顾性分析。结果：比较各因素分组中患者的住院时间和输血量之间的差异表明注射止血组和钛夹止血组之间比较无显著性的统计学差异(P>0.05)，其和钛夹结合注射组比较有显著性的统计学差异(P<0.05)；小于60岁组和大于80岁组之间比较无统计学差异，60～80岁之间组和小于80岁患者的比较存在有显著性的统计学差异(P<0.05)；不同病变情况组患者的输血量比较均无显著性的统计学差异(P>0.05)。结论：急性非静脉曲张性上消化道出血患者的治疗中，结合内窥镜的介入治疗可以缩短患者的住院时间，减少患者术中的出血量，提高治疗效果，值得临床中推广应用。
【关键词】急性非静脉曲张性上消化道出血；内窥镜；疗效观察
【Abstract】objective: to further understand the clinical observation by endoscope intervention in the treatment of acute upper gastrointestinal bleeding varices sex has curative effect and the relative factors and the influence of convenience between clinical rational treatment. Methods: the hospital in January 2009 to jan. 2011, of 82 cases of acute the varices sex upper gastrointestinal bleeding patients, the patients were retrospectively analysed. Results: the factors comparison in the group of patients in hospital and transfusion time the difference between injection group and titanium that stop bleeding between group compared with no significant statistical difference (P > 0.05), its and titanium clamp injection group compared with significant statistical difference (P < 0.05); Less than 60 years old group more than 80 years old group and is no statistically significant differences between 60 to 80 years old, less than 80 years old between group and the comparison of patients are significant statistical difference (P < 0.05); Different pathological changes of blood transfusions patients condition is there are no significant statistical difference (P > 0.05). Conclusions: acute the varices sex on the treatment of patients with gastrointestinal bleeding, combined with the intervention of the endoscopic treatment can shorten the patients in hospital time, reduce the blood loss, improve patients during the treatment effect, and the clinical application.
【Key words】the acute upper gastrointestinal bleeding varices sex; Endoscope; Curative effects
【中图分类号】R350 【文献标识码】B【文章编号】1005-0515(2011)08-0044-02
急性非静脉曲张性上消化道出血(acute nonvariceal upper gastrointestinal bleeding，ANVUGIB)是指屈氏韧带以上消化道非静脉曲张性疾患引起的出血，包括胰管或者是胆管的出血和胃空肠吻合术后附近疾患引起的出血 ......
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