【急诊内窥镜在诊断消化道上半部分出血中的应用】。

S Lukacević, M Elaković, J Bjelić, M Petrović, M Sosić, Z Petrović
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引用次数: 0

摘要

在两年的时间内,209例患者因上消化道出血进行了紧急内镜检查,占所有内镜检查的4.6%。在接受检查的患者中,有84%的人发现了出血的原因。最常见的出血原因是:胃十二指肠溃疡、糜烂性食管胃十二指肠炎、胃恶性肿瘤,以及较小比例的消化性术后溃疡和食管静脉曲张。分析原因相对较高的百分比未确定出血,作者坚持检测小病变以及间接迹象的粘膜改变作为出血的可能原因。
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[Emergency endoscopy in the diagnosis of hemorrhage from the upper part of the digestive tract].

Within a two-year period urgent endoscopy due to bleeding from the upper digestive tract was performed in 209 patients, that is, 4,6% of all endoscopies. The cause of bleeding was detected in 84% of the examined patients. The most common cause of bleeding was: gastroduodenal ulcer, erosive esophagogastroduodenitis, malignant gastric neoplasm, and, in a smaller percentage, peptic postresection ulcer and esophageal varices. Analysing causes of a relatively high percentage of nonidentified bleedings the authors insist on detection of small lesions as well as indirect signs of mucosal alterations as possible causes of bleeding.

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