【正文】 ll patients were diagnosed by endoscopy. 61 patients were male, 39 female patients patients, aged 17 to 69 years, mean age 42 + years old, of which three cases of anastomotic ulcer and 16 duodenal ulcer, 26 cases of gastric ulcer, 15 cases of plex ulcers, nine cases of acute gastric mucosal lesion with hemorrhage, 17 cases of esophagus, stomach bleeding after polypectomy, the other 14 cases. main clinical symptoms: black stools, vomiting, often acpanied with hypovolemia caused by acute peripheral circulatory failure[2].s body. gastrointestinal bleeding main clinical symptoms are manifested as blood in the stool, black stools, vomiting [3]. patients vomiting bright red color may be also possible that brown, bright red blood in the stool color can also be rendered, dark and tarry black. plex causes of gastrointestinal bleeding, clinical examination causes of morbidity in the moment consider the patient39。References:[1] Zhang, Xu Meidong, Chen Wei Feng.Acute nonvariceal gastrointestinal bleeding treatment guidelines quotient [J]. Journal of Internal Medicine, 2009,08 (10): 891.For Epinephrine Injection Alone And Injection Combined With Hemoclipthempy in treating hishrisk bleeding ulcers [J].其中有4例患者在治療后兩天內(nèi)再次出血，實施第二次治療，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?！　? 資料與方法　　 臨床資料　　選取我院于2010年3月至2011年9月收治的100例非靜脈曲張性消化道出血患者，所有患者均經(jīng)胃鏡檢查確診?！　?方法　　　　對于病情嚴(yán)重及由于出血量多而引發(fā)血流動力學(xué)變化的患者要及時給予血容量補(bǔ)充，維持血壓，同時進(jìn)行監(jiān)護(hù)，當(dāng)患者病情穩(wěn)定后即胃鏡檢查。當(dāng)注射時感覺到有阻力則停止。其中有4例患者在治療后兩天內(nèi)再次出血，實施第二次治療，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，如表一所示：　　3 討論　　消化道指的是食管到肛門之間的管道，其中經(jīng)過食管、胃、十二指腸、空腸、回腸、盲腸、結(jié)腸及直腸。消化道出血的原因復(fù)雜，臨床在檢查發(fā)病原因時刻考慮患者的病史、體征及臨床主要癥狀，但是出血的部位及原因則需要通過機(jī)械儀器來確定。在搶救治療中，抗休克、迅速補(bǔ)充血容量是治療的基礎(chǔ)。這說明，非靜脈曲張性消化道出血實施內(nèi)鏡下治療是一種安全性與有效性較高的手段，但是需要注意的是醫(yī)生要根據(jù)患者的具體情況來選擇內(nèi)鏡下止血的方法。s Siemens the G60S color Doppler ultrasonic diagnostic apparatus, the probe frequency , thinner using a bination of a 7 ~ 10MHZ highfrequency probe. Patient was supine or left Xiece supine maintain bladder filling and auxiliary routine inspection of the kidneys and ureters, female patients to be checked on the bladder, uterus, accessories, has been excluded urological, gynecological system disease factors, male patients with bladder, prostate All genitourinary examination related disease has been ruled out factors specified the pain of patients with a do focus on checking with partial pressure check, the probe flat right lower quadrant appendectomy pressure on both ends of the probe slowly pushed the surrounding tissue, abdominal and retroperitoneal lumbar major muscle, iliac artery, vein between the inflamed appendix can be seen with the cecum continuation. a.s white blood cell count and neutrophil percentage increased, but the increase was not obvious nor deny the diagnosis. noninvasive, no side effects, easy and quick, can repeat the advantages of dynamic observation by exploratory appendectomy size and shape, internal echo and mobility bined with clinical data to make more accurate ultrasound diagnosis of appendicitis, clinical diagnosis rate the B super play an important role in the differential diagnosis of acute appendicitis and other acute abdomen but in some cases there are also false negative, so it should be bined with a detailed medical history, a prehensive physical examination and laboratory tests, in order to make the right patients diagnosis so that patients receive timely treatment[3].3, Wang Zhibin main translation abdominal ultrasound diagnostic , People39。結(jié)果：超聲診斷各型闌尾炎特征明顯。急性闌尾炎的診斷通常主要依靠臨床經(jīng)驗，傳統(tǒng)的影像技術(shù)，如X線等對臨床診斷急性闌尾炎效果不大，不容易明確診斷急性闌尾炎?！　?我院自2009年7月至2011年7月，經(jīng)超聲診斷檢出急性闌尾炎85例，所有病例均經(jīng)臨床確診或手術(shù)證實，并得到了及時的治療?！　?　　儀器采用德國西門子G60S彩色多普勒超聲診斷儀，比較瘦的人結(jié)合采用7~10MHZ高頻探頭?！　. 急性單純性闌尾炎58例，患者多表現(xiàn)為發(fā)病時間短，一般在1236小時之間，超聲表現(xiàn)為闌尾呈管狀結(jié)構(gòu)，輕度腫脹，呈蚯蚓狀，邊界模糊、壁增厚呈雙邊影，內(nèi)部呈低而均勻或欠均勻的回聲，漿膜回聲不光滑，管壁層次欠清晰。急性化膿性闌尾炎超聲表現(xiàn)為闌尾腫脹粗大，長軸似手指狀，末端鈍圓，腸壁增厚，層次不清晰，漿膜回聲稍強(qiáng)，尚光整，內(nèi)部回聲不均勻，呈低回聲，腔內(nèi)呈強(qiáng)回聲，闌尾腔及周圍滲出液增多，縱切呈臘腸狀，闌尾壁厚薄不一，橫切面呈強(qiáng)弱相間的環(huán)形回聲，呼吸時闌尾隨盲腸上下移動?！　?討論實時超聲檢查具有無痛苦、無創(chuàng)傷、無副作用、簡便迅速，能重復(fù)動態(tài)觀察等優(yōu)點，通過探查闌尾的大小形態(tài)，內(nèi)部回聲和移動度等再結(jié)合臨床資料能夠?qū)﹃@尾炎做出較為正確的超聲診斷，提高了臨床確診率，使B超在急性闌尾炎和其他急腹癥鑒別診斷中具有重要作用。什么是奮斗？奮斗就是每天很難，可一年一年卻越來