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[胃十二指肠消化性出血的内镜治疗]

[Endoscopic treatment of gastroduodenal digestive hemorrhage].

作者信息

Llanos J, Valdés E, Cofré C, Tapia A, Denegri E

机构信息

Servicios de Cirugía y Medicina, Centro de Cáncer Gástrico, Hospital Regional de Talca, Chile.

出版信息

Rev Med Chil. 1992 Dec;120(12):1366-9.

PMID:1343376
Abstract

Endoscopy is extremely useful for the diagnosis of upper gastrointestinal bleeding. At the present time, therapeutic measures are been used during the endoscopy to stop bleeding. This paper reports the experience of hospital de Talca in the endoscopic treatment of upper gastrointestinal bleeding. Thirty four patients (22 male) with bleeding not originating from esophageal or gastric varices were treated with direct absolute alcohol injection into the bleeding lesions. The procedure was successful in 31 patients. Three of the 34 patients required surgery, but only one of those successfully sclerosed (97% success). There were no complications attributable to the procedure. It is concluded that this therapeutic modality must be implemented in places were gastrointestinal endoscopy is performed.

摘要

内镜检查对于上消化道出血的诊断极为有用。目前,在内镜检查过程中采用治疗措施来止血。本文报告了塔尔卡医院在上消化道出血内镜治疗方面的经验。34例(22例男性)非食管或胃静脉曲张引起的出血患者接受了向出血病灶直接注射无水酒精的治疗。该方法在31例患者中取得成功。34例患者中有3例需要手术,但其中只有1例成功硬化(成功率97%)。该操作未引起并发症。得出的结论是,这种治疗方式必须在开展胃肠内镜检查的地方实施。

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