临床消化病杂志
臨床消化病雜誌
림상소화병잡지
Chinese Journal of Clinical Gastroenterology
2015年
4期
212-215
,共4页
消化性溃疡出血%非静脉曲张性上消化道出血%急诊手术
消化性潰瘍齣血%非靜脈麯張性上消化道齣血%急診手術
소화성궤양출혈%비정맥곡장성상소화도출혈%급진수술
peptic ulcer bleeding%acute nonvariceal upper gastrointestinal bleeding%emergency surgery
[目的]分析非静脉曲张性上消化道出血经非手术治疗效果不佳的原因，分享急诊手术治疗体会。[方法]回顾性分析经非手术治疗效果不佳的24例非静脉曲张性上消化道出血患者临床资料。[结果]24例中胃十二指肠溃疡出血共14例（占58．33％），≥60岁者12例（占50．00％），男性22例（占91．67％）。24例经急诊外科手术治疗治愈22例，死亡1例，病危自动出院1例。[结论]胃十二肠溃疡出血、年龄、性别是非手术治疗后止血效果不佳或失败的主要原因，急诊外科手术治疗仍是抢救患者的重要方法。
[目的]分析非靜脈麯張性上消化道齣血經非手術治療效果不佳的原因，分享急診手術治療體會。[方法]迴顧性分析經非手術治療效果不佳的24例非靜脈麯張性上消化道齣血患者臨床資料。[結果]24例中胃十二指腸潰瘍齣血共14例（佔58．33％），≥60歲者12例（佔50．00％），男性22例（佔91．67％）。24例經急診外科手術治療治愈22例，死亡1例，病危自動齣院1例。[結論]胃十二腸潰瘍齣血、年齡、性彆是非手術治療後止血效果不佳或失敗的主要原因，急診外科手術治療仍是搶救患者的重要方法。
[목적]분석비정맥곡장성상소화도출혈경비수술치료효과불가적원인，분향급진수술치료체회。[방법]회고성분석경비수술치료효과불가적24례비정맥곡장성상소화도출혈환자림상자료。[결과]24례중위십이지장궤양출혈공14례（점58．33％），≥60세자12례（점50．00％），남성22례（점91．67％）。24례경급진외과수술치료치유22례，사망1례，병위자동출원1례。[결론]위십이장궤양출혈、년령、성별시비수술치료후지혈효과불가혹실패적주요원인，급진외과수술치료잉시창구환자적중요방법。
Objective]To investigate the cause of acute nonvariceal upper gastrointestinal bleeding (ANUGIB) and share emergency surgical treatment experience in our hospital .[Methods]This is a retro‐spective analysis of a nine‐year period from 2005 to 2013 ,twenty‐four cases were treated with the emergen‐cy surgical for ANUGIB and the clinical data were analyzed .[Results]In 24 cases ,14cases(58 .33% ) were gastrodude ulcer bleeding ,12 cases(50 .00% ) were ≥60 years old ,22 cases(91 .67% ) were male .In 24 ca‐ses ,22 cases were cured ,one case died ,one case discharged automatically .[Conclusion]With the progress of pharmacologic and endoscopic therapy ,the non‐surgical therapy has become the first choice for most pa‐tients with ANUGIB .However ,emergency surgery is the important way to rescue patents when it is im‐possible to achieve hemostasis by pharmacologic and endoscopic therapy or if rebleeding occurred w hen the conservative treatment fails .
