Emergency endoscopic clip titanium upper gastrointestinal bleeding in elderly patients with the clinical value of.docVIP

 PAGE \* MERGEFORMAT 7 Emergency endoscopic clip titanium upper gastrointestinal bleeding in elderly patients with the clinical value of [Keywords:] Gastrointestinal Hemorrhage / Emergency endoscopic treatment of the elderly titanium clip Elderly (60 years) because of their age characteristics, and most had atherosclerosis, the upper gastrointestinal bleeding often severe illness, prognosis is poor, emergency treatment is appropriate, a greater impact on the prognosis of patients by emergency endoscopic titanium clip therapy has become recognized as the treatment of upper gastrointestinal bleeding is an effective method. hospital from January 2005 ~ December 2008, the use of emergency endoscopic treatment of aged titanium clip clamp active upper gastrointestinal bleeding in 42 cases achieved satisfactory results. these are as follows: 1 Materials and Methods 1.1 General Information The group of 42 patients were hospitalized and outpatient hospital, where 31 males and 11 females, aged 60 to 78 years, mean 65.1 years old. Treatment in 9 cases when the performance of hematemesis, melena or tarry stool in 32 cases, two are both in 6 cases, blood loss was estimated at 800 ~ 2 500ml, Hb determination for the 5.0 ~ 8.0g / L, blood pressure dropped to 9 ~ 19 / 5 ~ 9kPa, pulse 100 ~ 150 times / min. BLEEDING: gastric ulcer 14 cases, 17 cases of duodenal ulcer, 2 cases of gastric cardia mucosa tear in 4 cases, 5 cases of esophageal varices. 1.2 Equipment Electronic endoscopy using Olympus GIFXQ260, Olympus metal clip releaser HX-5QR-1, titanium clip HX-600-090. 1.3 Methods Endoscopic lesions were found, after a good pre-clamp Road, titanium clip into the release of operator, fully exposed the bleeding site, out of the already installed HX-600-090-type titanium clip, pointing bleeding sites Push the metal clamps clamp the bleeding vessel sent out after the release of the metal titanium clip to cut off blood flow. For patients with esophageal var