Bouygues M, Ricotier E, Bour B
Service d'Hépato-gastroentérologie, Centre Hospitalier, Le Mans.
Gastroenterol Clin Biol. 1987 Oct;11(10):663-7.
The results of emergency endoscopic treatment of severe non variceal bleeding in the upper and lower gastrointestinal tract by hemostatic injections are reported. Most of the 44 patients were seriously ill and had a high surgical risk. Definitive hemostasis was obtained in 88.6 per cent of cases. Twenty-five patients had active bleeding which was arrested in 84 per cent of cases. There were no serious complications related to the technique. The overall survival rate was 52 per cent. Ten of the 13 deaths were not due to gastrointestinal hemorrhage. The authors advocate this simple, effective and inexpensive method as the initial treatment of ulcerated gastrointestinal bleeding in critically ill patients.
本文报道了通过注射止血剂对上下消化道严重非静脉曲张性出血进行急诊内镜治疗的结果。44例患者中大多数病情严重，手术风险高。88.6%的病例实现了确切止血。25例患者有活动性出血，其中84%的病例出血得到控制。该技术未出现严重并发症。总体生存率为52%。13例死亡患者中有10例并非死于胃肠道出血。作者提倡将这种简单、有效且廉价的方法作为危重症患者溃疡性胃肠道出血的初始治疗方法。
