93例非门脉高压性上消化道出血的临床诊治观察.docVIP

93例非门脉高压性上消化道出血的临床诊治观察 　　[摘要] 目的 探讨非门脉高压性上消化道出血的诊治疗效。 方法 整群选取该院2013年2月―2014年5月收治的93例非门脉高压性上消化道出血的病人，对患者进行电子胃镜检查，明确病灶，采取常规治疗、内科保守治疗、内镜下止血治疗及相关手术处理等治疗措施。结果 在接受治疗的93例患者中，痊愈34例，显效29例，有效25例，其中内镜下止血40例、5例转外科手术，治疗总有效率达到94.6%。结论 采取常规治疗、内科保守治疗、内镜下止血及相关外科手术处理等治疗措施，可以使此类患者的临床症状得到有效缓解，提高治疗效果，临床安全性高，无不良反应发生，值得临床推广和应用。 　　[关键词] 非门脉高压性上消化道出血；患者；诊治体会 　　[中图分类号] R573.2 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0085-03 　　[Abstract] Objective To investigate the effect of diagnosis and treatment of nonportal hypertensive upper gastrointestinal hemorrhage. Methods 93 patients with nonportal hypertensive upper gastrointestinal hemorrhage admitted to this hospital from February 2013 and May 2014 were included. All the patients underwent electronic endoscopy to find out the lesions， and then conventional therapy， conservative internal medical therapy， endoscopic hemostasis therapy， related surgical treatment and other treatment measures were carried out. Results Of all the 93 patients， 34 were cured， 29 showed remarkable effect and 25 showed some effect； 40 of all the patients underwent endoscopic hemostasis therapy， and 5 who was expected to receive other treatment underwent surgery. The overall curative rate was as high as 94.6%. Conclusion Conventional therapy， conservative internal medical therapy， endoscopic hemostasis therapy， related surgical treatment and other treatment measures can effectively relieve the clinical symptoms of these patients and improve the curative effect， in addition， these treatments are of high clinical safety but no adverse reaction， therefore they are worthy of clinical promotion and application. 　　[Key words] Nonportal hypertensive upper gastrointestinal hemorrhage； Patients； Diagnosis and treatment experience 　　非门脉高压性上消化道出血系指屈氏韧带以上的消化道出血，是上消化道出血的常见病因，具有发病率高、病死率高等特点，严重影响着人们的身体健康和生活质量[1]。此外，由于该病的发病原因较多，出血部位也不固定，这样给临床上诊治带来了一定难度。据相关医学统计表明，在患有上消化道出血的患者当中，出现持续出血或复发出血的患者占总数的10%，而且在这些患者当中，又有接近40%的患者出现死亡[2]。所以，临床上对于非门脉高压性上消化道出血的诊断和治疗显得尤为棘手，该研究通过对2013年2月―2014年5月该院在