摘要
目的:探讨内镜注射治疗十二指肠溃疡出血患者的失败因素。方法:对168例有活动性出血或裸露血管的十二指肠溃疡出血患者进行内镜注射治疗,并从临床和内镜方面分析注射治疗失败的相关因素。结果:内镜注射治疗的有效止血率为84.5%(142/168)。26例(15.5%)患者注射治疗失败,其中20例患者治疗后继续出血或再出血,6例因出血部位难接近而失败。内镜治疗失败与患者休克表现,低血红蛋白浓度,活动性出血,直径>2cm溃疡及十二指肠球部后壁溃疡等因素明显相关。结论:了解与治疗失败有关的因素有利于临床上识别对内镜注射治疗效果差的十二指肠溃疡出血患者。
Objective: To investigate the factors that may cause failure of endoscopic injection in patients with duodenal ulcer bleeding. Method: Endoscopic injection thesapy was performed for 168 patients diagnosed as duodenal ulcer bleeding with active hemorrhage or a nonbleeding visible vessel and clinical and endoscopic factors related to the therapeutic failure were analyzed. Results: The effective rate of endoscopic injection therapy was 84.5 %(142 of 168). Endoscopic injection failed in 26 (15.5 %) patients, among which 20 cases continued to bleed or rebleed and because of inaccessibility of the lesion 6 patients could not be treated. Therapeutic failure was significantly related to the presence of patients’ shock, lower hemoglobin level, active bleeding, the ulcer with diameter larger than 2cm, and the ulcer location on the posterior wall of duodenal bulb. Conclusion: These factors related to the therapeutic failure may be used to identify those patients with duodenal ulcer bleeding to whom endoscopic injection therapy is less effective.
出处
《河北医学》
CAS
2005年第4期293-295,共3页
Hebei Medicine
关键词
十二指肠溃疡出血
内镜注射治疗
失败因素
Duodenal ulcer bleeding
Endoscopic injection therapy
Failure factor
