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应用OlgmpusXP20型纤维胃镜对日龄2～10天，出生体重2400g～3600g，以呕血或／和柏油样便为主要临床表现的20例新生儿进行了检查和镜下治疗。提示：（1）新生儿上消化道出血多为应激状态（窒息、重度感染等）诱发的胃应激性溃疡和急性胃粘膜糜烂。（2）给予肌注VitK1、口服雷尼替丁、思密达及输血等治疗大部分痊愈。（3）应用纤维胃镜下止血是新生儿消化道出血新的治疗方法。
Application of OlgmpusXP20 fiber endoscopy on day 2 to 10 days, birth weight 2400g ~ 3600g, with hematemesis or / and tarry as the main clinical manifestations of 20 newborns were examined and microscopic treatment. Tip: (1) neonatal upper gastrointestinal bleeding mostly stress-induced (asphyxia, severe infections, etc.) induced gastric stress ulcer and acute gastric mucosal erosion. (2) give intramuscular VitK1, oral ranitidine, Smectite and blood transfusion and other treatment most of the recovery. (3) application of fiber endoscopy hemostasis is a new treatment of neonatal gastrointestinal bleeding.