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目的:探讨内镜下局部注射肾上腺素高渗盐水治疗消化性溃疡出血的临床疗效及安全性。方法:胃镜确诊为消化性溃疡出血、Forrest分级Ia~IIb的患者共37例,予1:10000肾上腺素高渗盐水局部注射后联合药物治疗,观察不同Forrest分级的消化性溃疡出血的治疗效果。结果:37例首次止血成功27例,有效率72.97%,经二次内镜止血后,7例成功,3例转外科手术治疗,总有效率91.89%。结论:内镜下局部注射肾上腺素高渗盐水治疗消化性溃疡出血是一种安全、有效、经济的治疗方式。
Objective: To investigate the clinical efficacy and safety of endoscopic injection of epinephrine hypertonic saline in the treatment of peptic ulcer bleeding. Methods: Gastroscopy diagnosed as peptic ulcer bleeding, Forrest grade Ia ~ IIb in 37 patients, to 1: 10000 epinephrine hypertonic saline local injection combined with drug treatment, observed the different Forrest grading peptic ulcer bleeding effect. Results: Of the 37 cases, the first hemostasis was successful in 27 cases, the effective rate was 72.97%. After secondary endoscopic hemostasis, 7 cases were successful and 3 cases were surgically treated. The total effective rate was 91.89%. Conclusion: Endoscopic injection of epinephrine hypertonic saline for the treatment of peptic ulcer bleeding is a safe, effective and economical treatment.