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Article Navigation >  Journal of Kunming Medical University  > 2018  >  39(05): 100-105
He Han . 急性下消化道大出血患者急诊肠镜诊断效果及其影响因素[J]. Journal of Kunming Medical University, 2018, 39(05): 100-105.
Citation: He Han . 急性下消化道大出血患者急诊肠镜诊断效果及其影响因素[J]. Journal of Kunming Medical University, 2018, 39(05): 100-105.
shu

急性下消化道大出血患者急诊肠镜诊断效果及其影响因素

Funds:

基金： 四川省卫生厅科研基金资助项目 (1102458);

  • Received Date: 2018-01-20
    Abstract

  • 目的 分析急性下消化道大出血患者急诊肠镜诊断效果及影响因素.方法 选取凉山彝族自治州第一人民医院2016年5月至2017年5月收治的56例急性下消化道大出血患者, 均行急诊结肠镜检查, 分析急性下消化道大出血病因, 比较不同肠道准备方法、不同出血程度患者急诊肠镜检查完成情况, 依据急诊肠镜检查成功与否分为检查成功组、检查失败组, 比较2组临床资料, 分析影响急诊肠镜检查的影响因素.结果 急性下消化道大出血病因有结肠癌、结肠息肉、结肠憩室等;不同肠道准备方法诱发再出血或出血加重率无明显差异 (P>0.05) , 重度出血组活动性出血病灶发现率高于轻度出血组、中度出血组 (P<0.05)>45岁、阑尾切除史、服药期间步行时间短、肠道准备不充分、检查前未服完全部清肠药、肠道解剖结构异常、医师操作不规范比例低于检查失败组 (P<0.05)>45岁、肠道准备不充分、肠道解剖结构异常是急性下消化道大出血患者急诊肠镜检查失败的独立危险因素 (P<0.05)>45岁、肠道准备不充分、肠道解剖结构异常是影响其诊断效果的独立危险因素.

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