摘要
目的 :观察钛铗联合过氧化氢冲洗诊治消化性溃疡大出血的效果。方法 :对 2 0 0 1年 1 0月～ 2 0 0 2年 1 0月在该院急诊内镜中发现消化性溃疡出血病例选择性使用 3 %过氧化氢冲洗后行钛铗止血。结果 :48例患者61个溃疡 ,52处出血灶。出血源暴露 :显效 47处 ,有效 5处 ,总有效率为 1 0 0 %。止血效果 :钛铗止血成功 51处 ,成功率 98.1 %。结论 :钛铗治疗所致组织损伤小、安全、有效 ,无并发症 ,联合使用过氧化氢冲洗可以使其在操作过程中更准确地钳夹出血灶 ,缩短操作时间 ,减轻病人痛苦和经济负担 ,是一种较理想的。
Objective: To study the result of treatment and diagnoses of heavy bleeding of peptic ulcer treated with Titanic clip and sprayed of H 2O 2.Methods: The patients with the heavy bleeding of peptic ulcer were selected from the emergent examination with gastroscope in my hospital between 10 th , 2001 and 10 th 2002. The spot of bleeding were sprayed with H 2O 2, then clipped with Titanic clip. Results:Forty-eight cases were found there 61 ulcers ,52 bleeding spots. The result of find of resource of bleeding were 47 spots very well, 5 spots good ,the efficiency is 100 percent. The result of hemostasia were 51 spots successfully, the eavailaility is 98.5 percent.Conclusion:The treatment of Titnaic clip is safe and efficient and little damage of natural tissue without complication. If the resource of bleeding is sprayed with H 2O 2 before clipped with Titnaic clip, we can clip the spots of bleeding of peptic ulcer exactly with shorter time of operation and we can abate the pain of operation and burden of patient. The technique is an ideal and practical technique.
出处
《中国内镜杂志》
CSCD
2003年第5期5-6,10,共3页
China Journal of Endoscopy
