【正文】 ng into the department receives an invalid continue treatment, pared with before treatment, the number of cases of bleeding significantly reduced, pared to P was considered statistically significant, statistically significant, As shown in table I.3 refers to a discussion of the digestive tract between the esophagus to the anus pipeline, including through the esophagus, stomach, duodenum, jejunum, ileum, cecum, colon and rectum, while gastrointestinal bleeding is clinically more mon diseases, light to take effective treatment can be cured, and might seriously damage the patient39。s specific situation to choose the method of endoscopic hemostasis.[3] Journal of Internal Medicine Editorial Board.[5] LO CC, HSU Pl, LO GH, et of hemostatie efficacy結(jié)果：100例患者中在治療后有94例患者即時止血，6例患者球后潰瘍出血止血不成功，治愈率為94%?！　∠莱鲅脑蛴泻芏?，隨著醫(yī)學(xué)技術(shù)的發(fā)展，內(nèi)鏡治療已被廣泛應(yīng)用于臨床，筆者為進(jìn)一步研究內(nèi)鏡下治療非靜脈曲張性消化道出血的臨床效果，選取了我院收治的100例非靜脈曲張性消化道出血患者，均采用內(nèi)鏡下治療，取得滿意效果，現(xiàn)作如下總結(jié)。主要臨床癥狀：黑便、嘔吐，多伴有血容量減少而引起的急性周圍循環(huán)衰竭。將注射針通過內(nèi)鏡活檢通道插入，再進(jìn)行藥物注射，可在出血部位周圍注射液可直接將藥物注射在血管內(nèi)。2 結(jié)果　　100例患者中在治療后有94例患者即時止血，6例患者球后潰瘍出血止血不成功，治愈率為94%。患者嘔吐的血色有可能是鮮紅的也有可能的是咖啡色，便血顏色也可呈現(xiàn)鮮紅、暗紅及柏油樣黑色。消化道出血具有病情急、變化快的特點(diǎn)，嚴(yán)重者可威脅患者的生命，所以，臨床搶救是十分重要的[5]。其中有4例患者在治療后兩天內(nèi)再次出血，實(shí)施第二次治療，3例患者止血成功且48小時內(nèi)無出血情況，1例止血無效轉(zhuǎn)入科室接受繼續(xù)治療；與治療前相比，出血例數(shù)明顯減少，對比P＜，有統(tǒng)計學(xué)意義。 1 Materials And Methods GENERAL INFORMATION acute appendicitis in 85 cases, aged 7 to 58 years old, acute unplicated appendicitis, 58 cases, 20 cases of acute suppurative appendicitis, acute appendicitis with perforation three cases of acute appendicitis with abscess in four cases. Above both our hospital emergency patients The clinical manifestations of paroxysmal Cullen pain or metastatic right lower abdominal pain, some performance for lower abdominal tenderness, anti pain, white blood cells, Medium myeloid elevated symptoms[2]. Instruments and Methods instruments with Germany39。 3 Discussion Acute appendicitis is a surgical mon, ranking the first in a variety of acute abdomen, if the appendix in the normal anatomical position to rely on the characteristics of of metastatic abdominal pain and tenderness lower right abdomen positioning, bined with laboratory tests, can be confirmed, but if the position variation realtime ultrasound with no pain, subject to the influence of tranquilizers at the same time, the diagnosis bees difficult. laboratory tests most acute appendicitis patient39。s Medical Publishing House, 2011,方法：對85例經(jīng)手術(shù)病理證實(shí)的闌尾炎超聲診斷的共性進(jìn)行總結(jié)分析?！　〖毙躁@尾炎是外科急腹癥中最常見的疾患，臨床表現(xiàn)雖有一定的規(guī)律性，但有時變化多端，如果處理不當(dāng)，可出現(xiàn)嚴(yán)重的并發(fā)癥。經(jīng)多年的的經(jīng)驗證明，超聲檢查在診斷急性闌尾炎及其合并癥、鑒別診斷方面具有了重要的診斷價值[1]。以上均為我院急診患者，臨床表現(xiàn)多為陣發(fā)性臍周痛或轉(zhuǎn)移性右下腹痛，部分表現(xiàn)為下腹壓痛、反條痛，白細(xì)胞、中型粒細(xì)胞升高等癥狀[2]。 2結(jié)果　　　　，急性化膿性闌尾炎和急性壞疽性闌尾炎二者聲像圖相似，不易區(qū)別，陽性率高。上述病例超聲表現(xiàn)為：于右下腹部探及低回聲炎性腫塊，形態(tài)不規(guī)則的回聲區(qū)，闌尾形態(tài)欠清晰，內(nèi)部回聲不均勻，呈低回聲或囊實(shí)混合性包塊，邊界不清楚，其內(nèi)無正常的闌尾聲像，膿腫形成的時間較長時，內(nèi)部液化明顯透聲差，呼吸時活動性消失，疑為闌尾膿腫，后經(jīng)手術(shù)證實(shí)。實(shí)驗室檢查中多數(shù)急性闌尾炎病人的白細(xì)胞計數(shù)及中性粒細(xì)胞比例增高，但升高不明顯也不能否定診斷。是狼就要練好牙，是羊就要練好腿。拼一個春夏秋冬！贏一個無悔人生！早安！—————獻(xiàn)給所有努力的人. 學(xué)習(xí)好幫手。不奮斗就是每天都很容易，可一年一年越來越難。但有些病例也存在假陰性，所以也應(yīng)結(jié)合詳細(xì)的病史，全面的體檢和實(shí)驗室檢查，才能對患者做出正確的診斷，使患者得到及時治療。急性闌尾炎是外科常見病，居各種急腹癥的首位，如果闌尾在正常解剖位置上，依靠轉(zhuǎn)移性腹痛和右下腹部定位壓痛的特點(diǎn)，結(jié)合實(shí)驗室檢查，即可確診?！　?，超聲表現(xiàn)為闌尾腫脹粗大，腸壁增厚，層次不清晰，漿膜回聲稍強(qiáng)，內(nèi)部回聲不均勻，呈低回聲，內(nèi)膜面的粘膜與粘膜下層的強(qiáng)回聲連續(xù)中斷，考慮闌尾穿孔，后經(jīng)手術(shù)證實(shí)。其內(nèi)可見液性暗區(qū)，當(dāng)呼吸時，闌尾隨盲腸向下移動，從腰大肌滑過，動態(tài)觀察，回盲部腸內(nèi)有氣液流動，而闌尾腔內(nèi)未見氣液流動聲像[3]?；颊呷⊙雠P位，或左斜側(cè)臥位，膀胱保持充盈，并輔助常規(guī)進(jìn)行雙腎和輸尿管的檢查，女性患者對膀胱、子宮、附件進(jìn)行檢查，已排除泌尿、婦科系統(tǒng)疾病因素；男性患者對膀胱、前列腺等全部泌尿生殖系統(tǒng)檢查，已排除相關(guān)疾病因素?，F(xiàn)總結(jié)如下：　　1資料與方法近年來，隨著超聲診斷的普及和蔓延，對過去因腸氣干擾等諸多原因造成的發(fā)現(xiàn)闌尾炎困難而導(dǎo)致的婁珍和誤診，現(xiàn)已逐步得到了改善。討論：B超在急性闌尾炎的鑒別診斷中有別于其他傳統(tǒng)方式的診斷，具有重要作用，有利于輔助合理選擇治療方案。s Health Publishing House, 2005.References1, Guo Xue editor Ultrasound in Medicine (sixth edition), People39。acute unplicated appendicitis in 58 cases, patients with symptoms for a short time of onset is generally between 1236 hours, the ultrasound showed appendectomy tubular structure, mild swelling, was the earthwormlike fuzzy boundary wall thickening was bilateral was low and uniform shadow, internal or less homogeneous echo, not smooth serosal echo wall level is unclear. seen in liquid dark area appendectomy with cecum, breathing, moving down from the psoas muscle over dynamic observation of the ileocecal intestinal gasliquid flow app