期刊文献+

内镜下注射治疗消化性溃疡出血118例分析

暂未订购
导出
摘要 目的探讨内镜下注射治疗对消化性溃疡出血的疗效。方法2002年1月至2005年1月因呕血和(或)黑便入院,经急诊内镜检查确诊为消化性溃疡出血患者118例,随机分成内科保守治疗和内镜注射治疗两组,内镜组在内科保守治疗的基础上于出血灶注射HLGE液。结果内镜组60例,止血有效率96.7%,再出血率3.3%,手术率3.3%,平均住院时间(3.4±0.8)d,平均住院费用(0.25±0.08)万元;对照组58例,止血有效率77.6%,再出血率8.6%,手术率8.6%,平均住院时间(7.1±1.5)d,平均住院费用(0.52±0.12)万元,两组在上述指标比较均有显著性差异(P<0.05)。结论内镜注射治疗简单有效,可降低再出血率和手术率,缩短住院时间,减少医疗费用,值得在临床上推广。
出处 《中外医疗》 2008年第1期2-3,共2页 China & Foreign Medical Treatment
  • 相关文献

参考文献6

二级参考文献17

  • 1聂玉强,李瑜元,吴惠生,周树峰.消化性溃疡出血的FORREST分级及其与预后关系[J].内镜,1995,12(1):10-12. 被引量:66
  • 2张惠彬 张汉治.急性上消化道大出血紧急内镜诊治180例分析[J].中华消化内镜杂志,1999,16(1):43-43.
  • 3[1]Choudari CP, Rajgopal C, Palmer KR. Comparison of endoscopic injection therapy versus the heater probe in major peptic ulcer haemorrage. Gut 1992; 33:1159-61.
  • 4[2]Bleau BL, Gostout C J, Sherman KE, et al. Recurrent bleeding from peptic ulcer associated with adherent clot: a randomized study comparing endoscopic treatment with medical therapy. Gastrointest Endosc 2002; 56: 1-6.
  • 5[3]Hachisu T. Evaluation of endoscopic hemostasis using an improved clipping apparatus. Surg Endosc 1988; 2: 13-7.
  • 6[4]Cipolletta L, Bianco MA, Marmo R, et al. Endoclips versus heater probe in preventing early recurrent bleeding from peptic ulcer: a prospective and randomized trial. Gastrointest Endosc 2001; 53:147-51.
  • 7[6]Gevers AM, Goede ED, Simoens M, Rutgeerts P. A randomized trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc 2002;55: 465-9.
  • 8[7]Lee YC, Wang HP, Yang CS, et al. Endoscopic hemostasis of a bleeding marginal ulcer: Hemoclipping or dual therapy with epinephrine injection and heater probe thermocoagulation. J Gastroentro Hepato 2002; 17: 1220-5.
  • 9LIN H J,LO W C,LEE,F Y,et al.A prospective randomized comparative triial showing that omeprazole prevent rebleeding in patients with bleeding peptic ulcer after successful endoscopic therapy[J].Arch Intern Med,1998,158:54-58.
  • 10SWAIN C P,STOREY D,BOW N S,et al.Nature of the bleeding vessel in recurrently bleeding gastric ulcers[J].Gastroenterology,1980,90:595.

共引文献48

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部