Kinnear W J, Dickinson R J, Buxton-Thomas M, Wraight E P
Nucl Med Commun. 1985 Sep;6(9):507-11. doi: 10.1097/00006231-198509000-00003.
The technique of 99Tcm-labelled red cell scintigraphy as a means of detecting rebleeding was investigated in 33 patients with bleeding peptic ulcers. Scintigrams were performed twice during the 24 h period succeeding diagnostic endoscopy. There was scintigraphic evidence of rebleeding in 23 patients but this was clinically manifest in 14 patients only. Thirteen of the 14 patients with clinical rebleeding had positive scintigrams while only in one patient with clinical rebleeding was the scintigram negative (P less than 0.05). These results show that rebleeding is common and often clinically inapparent during the first 24 h following gastroscopy but that in the absence of scintigraphic rebleeding serious clinical rebleeding is unlikely to occur.
对33例消化性溃疡出血患者进行了99锝标记红细胞闪烁扫描术检测再出血技术的研究。在诊断性内镜检查后的24小时内进行了两次闪烁扫描。23例患者有闪烁扫描证据显示再出血，但只有14例有临床症状。14例有临床再出血的患者中，13例闪烁扫描阳性，只有1例临床再出血患者闪烁扫描阴性（P<0.05）。这些结果表明，再出血很常见，在胃镜检查后的最初24小时内通常无临床症状，但若无闪烁扫描显示再出血，则不太可能发生严重的临床再出血。
