Rutgeerts P, Vantrappen G, Broeckaert L, Coremans G, Janssens J, Geboes K
Endoscopy. 1984 May;16(3):115-7. doi: 10.1055/s-2007-1018550.
A new technique of treating acute severe upper gastrointestinal haemorrhage was evaluated. The technique consisted of epinephrine injections in the bleeding lesion combined with YAG laser radiation in short pulses, applied until the bleeding vessel was completely closed. This new treatment modality was tried in 54 consecutive patients with severe upper gastrointestinal bleeding from a spurting artery, or an ulcer with a non-bleeding visible vessel in the floor of the ulcer crater at endoscopy. Permanent haemostasis was achieved in 87% of the 54 patients. Emergency surgery was needed in 13%. The mortality rate was only 10%. No complications occurred. It is concluded that this new technique of treating severe upper gastrointestinal bleeding from a spurting artery, or an ulcer with a visible vessel results in a significant improvement of the success rate (permanent haemostasis) and a marked reduction in the mortality rate.
一种治疗急性严重上消化道出血的新技术得到了评估。该技术包括在出血病变处注射肾上腺素并结合短脉冲YAG激光照射，持续进行直到出血血管完全闭合。对54例连续性严重上消化道出血患者试用了这种新的治疗方式，这些患者在内镜检查时表现为动脉喷血或溃疡底部有可见的非出血血管。54例患者中有87%实现了永久性止血。13%的患者需要进行急诊手术。死亡率仅为10%。未发生并发症。得出的结论是，这种治疗动脉喷血或有可见血管溃疡所致严重上消化道出血的新技术显著提高了成功率（永久性止血）并明显降低了死亡率。
