急诊内镜下治疗内镜下逆行胰胆管造影术后十二指肠乳头出血27例临床分析

Clinical analysis of duodenal papilla hemorrhage after ERCP treated by emergency endoscopic hemostasis (27 cases)

摘要:

目的  探讨内镜下逆行胰胆管造影（ERCP）术后十二指肠乳头出血相关因素及急诊内镜治疗的止血措施，总结预防和治疗十二指肠乳头出血的临床经验。方法  对该院行急诊内镜下止血治疗的十二指肠乳头出血患者的临床资料进行回顾分析。结果 26例内镜下止血成功，成功率达96.30%。结论  治疗性ERCP术后乳头出血重在预防，术后一旦出血，急诊内镜下止血是最直观、简便且有效的措施。

Abstract:

Objective To approach the related factors and emergency endoscopic hemostasis measures for duodenal papilla hemorrhage after ERCP, then sum up the clinical experience of prevention and treatment. Methods Clinical data of 27 patients with duodenal papilla hemorrhage treated by emergency endoscopic hemostasis were retrospectively analyzed. Results 26 cases treated by emergency endoscopic hemostasis were successful, the success rate was 96.30 %. Conclusions Prevention is very important for duodenal papilla hemorrhage. Once bleeding after ERCP, emergency endoscopic hemostasis is the most direct, simple and effective measure.