189例急性上消化道出血的病因及诊疗分析

发布时间：2018-01-18 05:36

本文关键词：189例急性上消化道出血的病因及诊疗分析　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨我院急性上消化道出血的病因分布、比较不同处理措施的治疗效果,为我院进一步规范上消化道出血的诊疗提供较可靠的临床依据。方法:回顾性分析2013年2月至2016年2月我院急诊科收治的189例急性上消化道出血病人的详细的临床资料。结果:189例急性上消化道出血的患者中消化性溃疡108例,其中十二指肠溃疡56例,胃溃疡52例,食管胃底静脉曲张破裂36例,急性胃粘膜病变20例,胃癌16例,其他病因9例。其中药物治疗好转或治愈106例,胃镜下治疗好转或治愈45例,介入治疗好转或治愈14例,转外科手术治疗好转或治愈7例,死亡总人数17例。行胃镜检查者156例。结论:我院急诊科收治的急性上消化道出血的病人病因以消化道溃疡为主,胃镜有很好的诊断价值,治疗上现仍以内科药物治疗为主。上消化道出血一般发病较急,病情进展较快,入院后需迅速评估病情,积极给予对症处理维持生命体征平稳,同时尽快完善胃镜明确病因,制定后续治疗方案,降低死亡率。
[Abstract]:Objective: To investigate the etiology of acute upper gastrointestinal hemorrhage, comparison of different treatment measures in our hospital for treatment, to further standardize the diagnosis and treatment of upper gastrointestinal bleeding and provide clinical evidence is reliable. Methods: To review the detailed clinical data of 189 patients with acute upper digestive tract emergency department of our hospital from February 2013 to February 2016 analysis treatment of hemorrhage. Results: 189 cases of acute upper gastrointestinal bleeding in patients with peptic ulcer in 108 cases, including 56 cases of duodenal ulcer, 52 cases of gastric ulcer, esophageal and gastric varices in 36 cases, 20 cases of acute gastric mucosal lesions, 16 cases of gastric cancer, 9 cases of other causes. The medical treatment or endoscopic treatment of 106 cases were cured, 45 cases improved or cured, 14 cases improved or cured interventional therapy, surgical operation treatment 7 cases improved or cured, the total number of deaths in 17 cases. 156 cases underwent gastroscopy. Conclusion: admitted to the emergency department of our hospital Acute upper gastrointestinal bleeding in patients with peptic ulcer disease, endoscopy is valuable in diagnosis and treatment is still in medical treatment. Upper gastrointestinal bleeding is generally more acute onset, disease progressed quickly, quickly assess the condition required after admission, positive symptomatic treatment to maintain stable vital signs, and perfect as soon as possible gastroscope clear etiology, follow-up treatment plan, formulated to reduce the mortality rate.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R573.2

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