神经药理学报2025，Vol.15Issue(5)：10-15,6.DOI:10.3969/j.issn.2095-1396.2025.05.002
急性上消化道出血患者口服盐酸达克罗宁胶浆行局麻下胃镜检查时机的研究
A Study on the Timing of Performing Endoscopic Examination Under Local Anesthesia for Patients with Acute Upper Gastrointestinal Bleeding by Administering Dyclonine Hydrochloride Mucilage Gel Orally
余丽红 1曾琴 1张可栎 1王凡凡 1黄洁琼 1陈慧仪 1薛瑛 1陈斌2
作者信息
- 1. 复旦大学附属中山医院(厦门)急诊科,厦门,361006,中国
- 2. 复旦大学附属中山医院(厦门)急诊科,厦门,361006,中国||复旦大学附属中山医院急诊科,上海,200032,中国
- 折叠
摘要
Abstract
Objective:Acute upper gastrointestinal bleeding is a common clinical emergency,which can be life-threatening in severe cases and should be paid close attention to Prompt diagnosis and treatment are critical,and previous guidelines recommend emergency gastroscopy within 24 hours.To explore whether gastroscopy within 12 hours after admission is a better time for AUGIB examination.Methods:A retrospective analysis was conducted on 244 patients who visited our emergency internal medicine department and received local anesthesia under gastroscopy from August 2021 to August 2024(patients with AUGIB during gastroscopy examination).The patients were divided into two groups based on the time from emergency visit to local anesthesia under gastroscopy:the emergency gastroscopy group(within 12 h)and the elective gastroscopy group(after 12 h).The general clinical data,endoscopic diagnosis results,interventional embolization rate,surgical rate,blood transfusion volume,ICU hospitalization rate,average hospital stay,hospitalization cost,and mortality rate were compared between the two groups.Results:The hospitalization rate of intensive care unit(ICU)in the emergency gastroscopy group was higher than that in the elective gastroscopy group(P<0.05).There were no statistically significant differences in gender,age,past medical history,hospitalization cost,length of stay,blood transfusion rate,blood transfusion volume,emergency DSA rate,emergency operation rate,and mortality between the two groups(P>0.05).Conclusion:Emergency gastroscopy(examination time<12 h)is not a better time for gastroscopy in UGBI patients,does not benefit patients,and may increase the risk.关键词
急性上消化道出血/局麻胃镜检查/检查时机Key words
acute upper gastrointestinal bleeding/local anesthesia gastroscopy examination/examination timing分类
医药卫生引用本文复制引用
余丽红,曾琴,张可栎,王凡凡,黄洁琼,陈慧仪,薛瑛,陈斌..急性上消化道出血患者口服盐酸达克罗宁胶浆行局麻下胃镜检查时机的研究[J].神经药理学报,2025,15(5):10-15,6.
