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題 名 | 經內視鏡對上胃腸道出血疾患之療效 |
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作 者 | 吳國良; 程東照; | 書刊名 | 醫學研究 |
卷 期 | 8:5 1988.03[民77.03] |
頁 次 | 頁325-331 |
分類號 | 415.526 |
關鍵詞 | 內視鏡; 上胃腸道出血; |
語 文 | 中文(Chinese) |
中文摘要 | 自民國72年12月至76年11月,有上胃腸道出血疾患,接受緊急内視鏡檢查,及内視鏡止血法治療。其中非食道靜脉曲張之上胃腸道出血,接受電燒法止血95位、雷射法止血76位,純酒精止血法30位。其止血成功率分別是92.6%、89.5%及93.3%(純計學上,無有意義之差別,P>0.05)再出血率各組為7.4%、10.5%及6.7%。需手術率各組為3.2%、9.2%及10.0%。(P>0.05)經止血後,出血仍不止而死亡者,分別是1.1%、1.3%及0%。有關食道靜脉曲張破裂出血之食道硬化劑治療17位中,其止血成功率、再出血率、手術率及出血不止死亡率,分別為80%、20%、12%及16%。經内視鏡止血治療,雖不能改善疾病本身的過程,但如能趁診斷之便,尤其是病情不適宜手術時,先試行内視鏡止血治療,可穩定病情,降低死亡率。 |
英文摘要 | Patients with upper gastrointestinal hemorrhage were studied for endoscopic hemostasis from December 1982 to November 1987. Ninety-five patients with Upper G-I non-variceal bleeding received the treatment of endoscopic electrocoagulation. There were 76 patients with upper G-I bleeding for Nd:YAG laser therapy and 30 receiving pure alcohol treatment. The successful hemostatic rates were 92.6%, 89.5%, and 93.3% in each group treated by electrocoagulation, laser and pure alcohol. There was no significant statistical difference among those methods. (P>0.05) The rebleeding rate in the group treated by electrocoagulation, laser and pure alcohol showed 7.4%, 10.5% and 6.7% respectively. (P>0.05) The mortality rate due to uncontrolled G-I bleeding among the treated group had 1.1%, 1.3% and 0% respectively. The successful hemostatic, rebleeding, operative and moratality rates in the group treated by endoscopic sclerosis of esophageal variceal bleeding in 25 patients revealed 80%, 20%, 12%, 32%, and 16% respectively. Though the course of disease itself could not be healed by endoscopic hemostasis completely, the morbidity and mortality of G-I bleeding can be stabilized by emergency endoscopic examination and treatment, especially in the patient who is at high risk for any other emergency surgical procedure. |
本系統中英文摘要資訊取自各篇刊載內容。