内镜下金属夹治疗小儿上消化道出血28例报告

目的 探讨内镜金属止血夹在小儿上消化道非静脉曲张性急性大出血中的应用技术及疗效。方法应用Olympus HX-5LR-1型内镜金属夹持放推送器及MD-850型金属夹治疗28例小儿上消化道非静脉曲张急性出血患者。结果28例上消化道急性大出血立即止血率为100％，1例发生再出血，共放置金属夹43枚，平均1．6枚，全组末见并发症及不良反应。结论内镜止血夹对小儿上消化道出血的治疗及预防再出血均有良好的疗效，是一种安全、简便治疗方法。

Bleeding of children's uper-digestive tract treated with endoscope metal clamp

Objective To explore the application technology and effect of endoscope hemostatic metal clamp in children's uper-digestive tract with non-variciform acute large bleeding.Methods Type-Olympus-HX-51R-1 or type-MD-850 endoscope metal clamp were used to hold and put in the pusher.Results For 28 cases with acute large bleeding of uper-digestive tract,hemostasis rate was 100 per cent.Among them one case reoccured bleeding.Totally 43 badges of metal clamps were put inside,at an average of 1.6 badges each.No complications and adverse reactions occurred.Conclusion As a safe and easily used method of treatment,endoscope metal clamps can achieve high hemostasis rate quickly and prevention of reoccurrence of bleeding.