【正文】 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(yàn)室檢查，即可確診。不奮斗就是每天都很容易，可一年一年越來越難。是狼就要練好牙，是羊就要練好腿。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(shí)間較長時(shí)，內(nèi)部液化明顯透聲差，呼吸時(shí)活動(dòng)性消失，疑為闌尾膿腫，后經(jīng)手術(shù)證實(shí)。 2結(jié)果經(jīng)多年的的經(jīng)驗(yàn)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(jià)值[1]。方法：對(duì)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。 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。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(shí)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(duì)比P＜，有統(tǒng)計(jì)學(xué)意義。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。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)?！　∠莱鲅脑蛴泻芏啵S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)。[5] LO CC, HSU Pl, LO GH, et of hemostatie efficacys specific situation to choose the method of endoscopic hemostasis.s specific situation to choose the method of endoscopic hemostasis.Keywords:nonvarice al,gastrointestinal bleeding, endoscopic therapy There are many causes of gastrointestinal bleeding, with the development of medical technology, endoscopic therapy has been widely used clinically, the author for further study of endoscopic treatment of nonvariceal gastrointestinal bleeding clinical results, selected in our hospital 100 cases of nonvariceal gastrointestinal bleeding, endoscopic therapy are used to obtain satisfactory results, are summarized as follows[1].s hemoglobin is not less than 70g / L, and then reexamination, in order to avoid damage to the digestive tract endoscopy tube inspection, so intuitive gastroscopy under local ice saline flush, suction and changes in position and other methods to avoid the impact of the observed bleeding more.Endoscopic injection sclerotherapy metal clips and treatment of peptic ulcer bleeding [J]. Chinese Clinical Medicine, 2008,15 (06) :814815.方法：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，均在內(nèi)鏡下進(jìn)行治療，并與治療前進(jìn)行對(duì)比。其中3例吻合口潰瘍，16例十二指腸球部潰瘍，26例胃竇潰瘍，15例復(fù)合潰瘍，9例急性胃黏膜病變伴出血，17例食管、胃息肉切除后出血，其他14例?！　?統(tǒng)計(jì)學(xué)分析　　，計(jì)量資料采用t檢驗(yàn)，組間對(duì)比采用X2檢驗(yàn)，P＜，有統(tǒng)計(jì)學(xué)意義。臨床研究發(fā)現(xiàn)，非靜脈曲張性消化道出血最常見的因素有腫瘤（內(nèi)鏡治療后）、黏膜撕裂、黏膜病變、炎癥及潰瘍，其中最主要的因素是消化性潰瘍出血。Acute appendicitis is the most mon disorders of the surgical abdomen, clinical manifestations although certain regularity, but sometimes changing, if not handled properly, serious plications can occur. Diagnosis of acute appendicitis usually rely mainly on clinical experience, traditional imaging techniques, such as Xray is little clinical diagnosis of acute appendicitis effect, not easy to confirm the diagnosis of acute appendicitis. recent years, with the popularity and spread of ultrasound diagnosis, appendicitis difficult in the past due to many reasons due to interference of intestinal gas discovery caused by Lou Jane and misdiagnosed, is now gradually improving, especially with a highfrequency probe technology and better use of appendicitis sonographic characteristics, accurate diagnosis of appendicitis. proved by years of experience, ultrasonography in diagnosis of acute appendicitis and its plications, differential Diagnosis has important diagnostic value[1] Our hospital from July 2009 to July 2011, diagnosed by ultrasound detected 85 cases of acute appendicitis, and in all cases confirmed by clinical diagnosis or surgery and get timely treatment are summarized as follows:s Medical Publishing House, 2011,2, Qian Yun Qiu, Zhou Xiaodong, Zhang Jun, editor the practical ultrasonic diagnostic manual (second edition) Amendment, the People39。關(guān)鍵詞：急性闌尾炎 超聲診斷 診斷標(biāo)準(zhǔn) 　　　　　　　　　 急性闌尾炎85例，年齡7~58歲，急性單純性闌尾炎58例，急性化膿性闌尾炎20例，急性闌尾炎伴穿孔3例，急性闌尾炎伴膿腫4例。但如果位置變異，同時(shí)受到鎮(zhèn)靜劑等的影響時(shí)，診斷就變得困難。能干的人，不在情緒上計(jì)較，只在做事上認(rèn)真；無能的人！不在做事上認(rèn)真，只在情緒上計(jì)較。參考文獻(xiàn) 郭