【正文】 te of acute suppurative appendicitis ultrasound showed coarse swelling of the appendix, the long axis like a fingerlike, the end of obtuse, wall thickening, the level is not clear, serosal echo slightly stronger, yet finishing heterogeneous internal echo, hypoechoic, the cavity was strong echo appendectomy cavity and surrounding exudate was sausage, slitting like, appendectomy varying wall thickness, strength of transverse section white ring echo, breathing appendectomy with cecum move up and down[2]. c.臨床上要根據(jù)患者的出血量來決定血容量的補(bǔ)充量。而消化道出血則是臨床上較為常見的疾病，輕者采取有效治療即可痊愈，重者可嚴(yán)重?fù)p傷患者身體。對于由于失血過多而引起貧血的患者要及時給予糾正治療，直到檢查患者的血紅蛋白不低于70g／L，然后再行鏡檢，為了避免胃鏡插管檢查損傷消化道，所以在胃鏡檢查時直觀下局部冰生理鹽水沖洗、抽吸及改變體位等方法來避免出血較多對觀察的影響[1]。結(jié)論：非靜脈曲張性消化道出血實(shí)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。[4] Qiu Zan, Zhao Kui, Wang Bangmao.s medical history, clinical signs and the main symptoms, but the location and cause of bleeding is required by mechanical instrument to determine at the time of diagnosis to pay special attention to upper gastrointestinal bleeding and some exclusion of lower gastrointestinal bleeding disorders [4]. clinical study found that nonvariceal gastrointestinal bleeding is the most mon factors are tumor (endoscopic treatment, mucosal tear, mucosal lesions, inflammation and ulcers, the most important factor is the peptic ulcer bleeding. gastrointestinal bleeding with acute illness, is characterized by rapid change can be serious threats to the lives of patients, so it is important to clinical rescue [5] In the salvage therapy, antishock, quickly add volume is to treat basis. clinical bleeding according to the patient39。. . . .. .Nonvariceal gastrointestinal bleeding, endoscopic therapy clinical analysisAbstract: Objective: To study the observed endoscopic treatment of nonvariceal gastrointestinal bleeding clinical effect.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。Acute nonvariceal gastrointestinal bleeding treatment guidelines quotient [J]. Journal of Internal Medicine, 2009,08 (10): 891.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?！　?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。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，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。在搶救治療中，抗休克、迅速補(bǔ)充血容量是治療的基礎(chǔ)。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.3, Wang Zhibin main translation abdominal ultrasound diagnostic , People39。急性闌尾炎的診斷通常主要依靠臨床經(jīng)驗(yàn)，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?！　?　　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。實(shí)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(diǎn)，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