论文部分内容阅读
内窥镜检查上消化道出血病变的价值普遍受到重视。但也有相当例数不能确定出血部位。特别是肝硬化静脉曲张出血。往往找不到破裂出血部位的窥视证据。作者对500例上消化道出血病人进行急诊纤维内窥镜检查。找不到出血部位者55例,其中37例为肝硬化合并门脉高压,窥见粗大(5~+级)广泛食道胃底静脉曲张。137例中11例第一次出血停止后短期内又多次出血。于是进行了1—2次内窥镜复查,结果有7例确诊胃底食道静脉曲张出血,另4例内窥镜检查不能确定出血原因。其中1例腹腔动脉造影证实是胃底静脉曲张出血。因此,作者认为,要提高内窥镜对肝硬化
The value of endoscopy in the diagnosis of upper gastrointestinal bleeding has been widely recognized. But there are quite a few cases can not determine the bleeding site. Especially cirrhosis varicose hemorrhage. Often can not find the spilled evidence of bleeding sites. The author of 500 cases of upper gastrointestinal bleeding emergency fiber endoscopy. 55 cases could not find the bleeding site, of which 37 cases of cirrhosis with portal hypertension, glimpse of the coarse (5 ~ + grade) extensive esophageal varices. In 137 cases, 11 cases had multiple hemorrhage shortly after stopping the first bleeding. So 1-2 times the endoscopic examination, the results of 7 cases of gastric esophageal varices confirmed bleeding, the other 4 cases of endoscopy can not determine the cause of bleeding. One case of celiac artery angiography confirmed gastric variceal bleeding. Therefore, the authors believe that to improve endoscopic cirrhosis