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《Chinexe Journal of Pediatrics》 1995-01
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EMERGENCY GASTROSCOPY AND TREAT-MENT OF UPPER GI BLEEDING AMONGCHILDREN-A PRELIM-INARY STUDY

XuChundi;Wu Yunlin; Mei Hang et al. (RuijinHospzlal , Shanghai Seccod Medical Universily ,Shanghai 200025)  
mergency gastroscopy was performed in 39 pedi-atric patients with upper GI bleeding 10 months to 12years of age- All examinations were performed within48 hours after bleeding. The endoscopy showed activebleeding (18) , recent bleeding (15) and lesions withoutbleeding (6). Foci were found in 100% of the cases;bleeding due to duodenal ulcer was found in 51 % and a-cute mucosal disease in 31%. No complication was en-countered with the procedure. Hemostasis by thrombinspray via the endoscope was successful in all 18 caseswith active bleeding. No recurrence of bleeding or anyadverse effect was observed within 7 days after the pro-cedure. The present study suggests that detection rateof the causes of upper GI bleeding especially acute mu-cosal diseases among children was greatly increased ascompared with other previously used modalities. Thecontrol of active bleeding by thrombin spray was instantand effective without any side effect.
【CateGory Index】: R725.732
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