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[内镜止血在胃十二指肠出血患者中的应用潜力]

[Potential of endoscopic hemostasis in patients with gastroduodenal bleedings].

作者信息

Korolev M P, Fedotov L E, Antipova M V, Pavlova E A

出版信息

Vestn Khir Im I I Grek. 2006;165(6):47-50.

PMID:17436746
Abstract

The authors have analyzed their experiences with treatment of 61 patients using the method of endoscopic clipping: 24 of them had the source of bleeding in chronic ulcers of the duodenal bulb, 6 had chronic gastric ulcers, 15 had acute gastric ulcers, 2 had acute ulcers of the duodenal bulb, Mallory-Weiss syndrome was found in 2 patients, Dieulafoy syndrome in 10 patients and one patient had peptic ulcer of the gastro-entero-anastomosis. The endoscopic clipping was made in 11 patients, in 31 patients injections of adrenaline and coagulation were added, in 9 patients--coagulation only, in 2 patients--irrigation with caproferon, in 8--adrenaline injections. In 57 out of 61 patients reliable hemostasis was achieved.

摘要

作者分析了他们使用内镜夹闭术治疗61例患者的经验:其中24例患者的出血源为十二指肠球部慢性溃疡,6例为慢性胃溃疡,15例为急性胃溃疡,2例为十二指肠球部急性溃疡,2例患者发现有马洛里-魏斯综合征,10例患者有迪厄拉富瓦综合征,1例患者有胃肠吻合口消化性溃疡。11例患者进行了内镜夹闭术,31例患者加用了肾上腺素注射和凝血治疗,9例患者仅进行了凝血治疗,2例患者用卡普罗芬冲洗,8例患者进行了肾上腺素注射。61例患者中有57例实现了可靠的止血。

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