内镜下注射治疗消化性溃疡出血的临床研究 |
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gnificant difference(P>0.05). After 6 months of the observed,no one was found rebleeding. No complications related with treatment occurred in the two groups of patients.No significant differences are observed between the 2 groups in hospital stay, surgery and mortality. Conclusion Endoscopic aethoxysklerol injection and endoscopic 1:100000 epinephrinEInjection were both effective and safe methods in treating peptic ulcer bleeding,and the effect of aethoxysklerol is better than epinephrine,they deserved for further application. 【Key words】 Endoscopic therapy; Peptic ulcer bleeding; Sclerosing agent; Epinephrine 消化性溃疡出血是内科常见急症。内镜下注射止血对消化性溃疡出血有肯定的疗效,应用最为广泛[1,2]。内镜下局部注射1:10 0000肾上腺素的方法被广泛应用。国内外对各种内镜下止血技术的对比研究已很明确,但在各种注射药物疗效及安全性之间的临床研究较少,本研究选择内镜下注射1%乙氧硬化醇与1:10 0000肾上腺素,观察两种内镜注射治疗在疗效及并发症等方面有无差异,旨在探索一种更有效的内镜止血治疗方法。 1 资料与方法 1.1 临床资料 回顾性收集2009年7月至2010年7月因呕血和(或)黑便在我院消化内科行紧急胃镜确诊为消化道溃疡并活动性出血,胃镜下表现符合Forrest分级动脉喷血(I a)或活动渗血(I b)或血管显露(Ⅱa)或血凝块附着(1I b),病历记上一页 [1] [2] [3] [4] [5] [6] [7] 下一页 |
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