上消化道出血内镜表现和治疗-文档资料.ppt
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1、With the inverted gastroscope a spurting hemorrhage from a fundal varice is discerbnable. Hemostasis is achieved with several low volume injections of Histoacryl - glue. The right picture shows the therapeutic success. This massive vessel with active bleeding was diagnosed in a 58 year- old patient,
2、 who presented with tary stools. The first picture shows the lesion after injection of fibrin glue. The right picture shows additionally applied hemoclips. Bleeding stopped at the end of the procedure, but reccurred twice before the patient had to be treated surgically. In dieu-la-foy ulcers an arte
3、rial vessel of abnormal size reaches the mucosa causing a tiny ulzeration by permanent compression of the mucosal layer. Esophageal varices grade II (right) und grade III (left). Cherry red spots are signs of imminent hemorrhage (right). They correspond to areas of especially thin and altered varice
4、al wall. This duodenal ulcer at the left edge of the figure, shows an oozing, active bleeding. According to the Forrest classification of gastrointestinal hemorrhage of the upper GI- tract, this bleeding is graded as Forrest Ib. The visible vessel is treated by primary application of a hemoclip. At
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- 消化道 出血 表现 治疗 文档 资料
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