Soehendra N, Rehner M, Werner B, Eichfuss H P
Z Gastroenterol. 1976 Jan;14(1):9-13.
In hemorrhages from the upper gastrointestinal tract, emergency endoscopy is becoming more and more significant. Hemorrhages during the early postoperative stage, particularly in abdominal surgery, require particular attention due to the generally difficult postoperative situation. In most instances, intragastral hemorrhages are due to erosions and anastomotic bleeding. A detailed knowledge of the surgery performed may contribute to a quick and successful examination. Among the most important premises for a high rate of correct diagnoses are the experience of the examining physician as well as an early or immediate identification of the indications. In addition to the diagnostic significance, under favorable circumstances endoscopy makes possible definitive or temporary staunching of the bleeding by means of diathermy, laser beam or sclerotization.
在上消化道出血中，急诊内镜检查正变得越来越重要。术后早期的出血，尤其是腹部手术中的出血，由于术后总体情况通常较为困难，需要特别关注。在大多数情况下，胃内出血是由糜烂和吻合口出血引起的。对所进行手术的详细了解可能有助于快速且成功地进行检查。正确诊断率高的最重要前提之一是检查医师的经验以及对适应证的早期或即时识别。除了诊断意义外，在有利的情况下，内镜检查可以通过透热疗法、激光束或硬化疗法对出血进行确定性或临时性止血。
