急性上消化道出血早期内镜检查与放射学检查的前瞻性对照试验。
A prospective comparative trial between early endoscopy and radiology in acute upper gastrointestinal haemorrhage.
作者信息
McGinn F P, Guyer P B, Wilken B J, Steer H W
出版信息
Gut. 1975 Sep;16(9):707-13. doi: 10.1136/gut.16.9.707.
Abstract
A prospective comparative trial is reported between the results of early endoscopy and barium meal examinations in 150 patients admitted with acute upper gastrointestinal haemorrhage. One hundred and thirty-eight patients underwent both investigations within 24 hours of admission. Emergency endoscopy accurately identified the source of haemorrhage in 86% of patients and emergency radiology identified the source in 51%. Misleading positive reports were given endoscopically in 3% and by barium meal in 8%. The identification of the source of haemorrhage was possible in 126 patients (91%) by the use of both methods. Emergency endoscopy is shown to be superior to emergency barium meal examination, but the examinations are complementary and both should be used for these patients.
摘要
本文报道了一项前瞻性对比试验，该试验针对150例急性上消化道出血患者，比较了早期内镜检查和钡餐检查的结果。138例患者在入院24小时内接受了这两项检查。急诊内镜检查准确识别出86%患者的出血源，急诊放射检查识别出51%患者的出血源。内镜检查出现误导性阳性报告的比例为3%，钡餐检查为8%。两种方法联合使用可使126例患者（91%）明确出血源。结果表明，急诊内镜检查优于急诊钡餐检查，但二者具有互补性，对这些患者均应采用。
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本文引用的文献
1
FURTHER EXPERIENCE WITH THE WARD ACUTE BARIUM MEAL.病房急性钡餐检查的更多经验
Clin Radiol. 1965 Jan;16:93-5. doi: 10.1016/s0009-9260(65)80038-1.
2
Haematemesis and melaena. Their early radiological investigation.呕血与黑便。它们的早期放射学检查。
Lancet. 1960 Sep 3;2(7149):507-10. doi: 10.1016/s0140-6736(60)91540-3.
3
Ward barium meal examination in acute gastro-intestinal haemorrhage.
Clin Radiol. 1960 Jan;11:60-4. doi: 10.1016/s0009-9260(60)80067-0.
4
Haematemesis and melaena, with special reference to factors influencing the outcome.呕血与黑便，特别提及影响预后的因素。
Br Med J. 1970 Apr 4;2(5700):7-14. doi: 10.1136/bmj.2.5700.7.
5
Problems of alimentary bleeding.消化道出血问题。
Br Med J. 1969 May 3;2(5652):267-73. doi: 10.1136/bmj.2.5652.267.
6
7
Diagnosis of upper gastro-intestinal bleeding.上消化道出血的诊断
Br Med J. 1965 Oct 2;2(5465):784-9. doi: 10.1136/bmj.2.5465.784.
8
Survey of haemorrhagic erosive gastritis.出血性糜烂性胃炎的调查
Br Med J. 1968 Aug 3;3(5613):283-5. doi: 10.1136/bmj.3.5613.283.
9
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J R Coll Physicians Lond. 1974 Jul;8(4):365-74.
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