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Posted: Fri 0:08, 18 Mar 2011 Post subject: adidas scarpe Constant bleeding artery diameter en |
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Constant bleeding artery diameter endoscopic diagnosis and treatment in the emergency
Confirmed. Witnessed the breaking of which side of the vessel 5, and 4 cases of columnar see spurting. 8 down the surface with superficial ulcers can be seen or to see the blood clot ends. Endoscopic findings in 13 patients the lesion: one bulb in 3 cases (2 cases of anterior, posterior n = 1) upper gastric lesser curvature in 8 cases (5 cases of anterior, posterior in 3 cases), gastric and responsibilities door and 1 down. All the patients diagnosed by endoscopy. Underwent emergency endoscopic therapy. Endoscopic hemostasis methods: the rupture of blood vessels at and around 4 ~ 5 points in the submucosal injection of HLE (hypertonic saline,[link widoczny dla zalogowanych], norepinephrine Faso, lidocaine 1 copy) injection, each at about lml. 1 of them to save 10 patients injected with 2 attack injection of 2 cases and 1 case at the 2nd again under endoscopic injection of bleeding underwent surgical treatment. Endoscopic treatment of patients after acid treatment to stop bleeding, were cured and discharged. No 1 died. Disease and 3 times the discussion Dioulafoy said constant diameter arterial rupture because no specific clinical features and diagnosis more difficult. With the popularity of endoscopy, emergency endoscopic diagnosis and treatment of the disease to carry out and the attention and depth of Dioulafoy is gradually increasing reports of disease reported in the literature % to 2%,[link widoczny dla zalogowanych], and in this group was 091% and its specific guillotine (13/1430 patients), while the last 3 years the proportion of 1% (7 / 400 http) and the foreign reporting of results is similar. Help with emergency endoscopic Spreading the diagnosis and treatment of conduct and deep understanding of the disease, its findings will also increase. D [oularoy disease is mainly based on endoscopy. about 80% of the disease in the esophagus and stomach on the connections within 6cm. This group also nearly 77 % (10/13) of lesions in this range. So when the emergency endoscopy should be focused on the suspected disease,[link widoczny dla zalogowanych], the scope of the inspection of the high pour soap when necessary checks. because the disease has mostly examined in the context of emergency, endoscopy the large number of bloody gastric contents and blood clots caused by lesions observed retention difficulties of diagnosis and treatment, should be washed more attractive,[link widoczny dla zalogowanych], fully exposed lesions, favorable treatment. In the past, some scholars believe that the disease Endoscopic surgery is only valid for 13 one But Boron80 years after first endoscopic therapy,[link widoczny dla zalogowanych], there are scholars believe that endoscopic treatment is the preferred method of disease. endoscopic injection of HLE film revolves efficiency above 90%. and simple, so that the treatment of Dioulafoy disease is a reliable and effective, and only after endoscopic treatment failure to consider surgery.
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