内镜诊断和治疗十二指肠黏膜下恒径动脉破裂出血并活动性出血的价值（附6例报告）

Clinical value of endoscopic diagnosis and treatment of duodenal bleeding of submucosal caliber-persistent artery with active bleeding (report of 6 cases)

摘要:

目的 探讨内镜诊断和治疗十二指肠黏膜下恒径动脉破裂出血并活动性出血的价值。方法 回顾性分析2015年6月－2023年1月该院经内镜确诊十二指肠黏膜下恒径动脉破裂出血并活动性出血的6例患者的临床资料。总结临床表现、内镜下特征和治疗转归。结果 于24 h内完成急诊内镜检查，证实6例均为单纯十二指肠黏膜下恒径动脉破裂出血，并成功行内镜下钛夹止血治疗。结论 内镜诊断十二指肠黏膜下恒径动脉破裂出血所致的大出血，具有较高的价值。此外，于内镜下及时采取积极、有效的干预措施，可快速止血，降低死亡率。值得应用于临床。

Abstract:

Objective To explore the clinical value of endoscopic diagnosis and treatment of duodenal bleeding of submucosal caliber-persistent artery with active bleeding.Methods A retrospective analysis was conducted on the clinical data of 6 patients diagnosed with duodenal bleeding of submucosal caliber-persistent artery and active bleeding by endoscopy from January 2015 to January 2023. Summarize the clinical manifestations, endoscopic features and treatment outcomes.Results Emergency endoscopic examination was completed within 24 hours, confirming that all 6 cases were simple duodenal bleeding of submucosal caliber-persistent artery, and endoscopic titanium clip hemostasis treatment was successfully performed.Conclusion Endoscopy has high value in diagnosing massive hemorrhage caused by duodenal bleeding of submucosal caliber-persistent artery. In addition, timely adoption of active and effective intervention measures under endoscopy can quickly stop bleeding and reduce the mortality rate. It is worth applying in clinical practice.