【正文】 he development of medical technology, endoscopic therapy in clinical playing an increasingly important role, in this study the author selected 100 cases nonvariceal gastrointestinal bleeding patients were treated with endoscopic therapy results show that 100 patients in the treatment of 94 patients immediately after bleeding, 6 patients with bleeding ulcer bleeding after the ball is unsuccessful, the cure rate was 94%. including four patients in the treatment of bleeding again within two days after the implementation of the second treatment, 3 patients within 48 hours of successful hemostasis and no bleeding, one case of bleeding into the department receives an invalid continue treatment, pared with before treatment, bleeding significantly reduced the number of cases, pared to P was considered statistically significant, statistically significant, which shows that the implementation of nonvariceal gastrointestinal bleeding endoscopic therapy is a high safety and efficacy of the means, but needs Note that the doctor according to the patient39。References:[1] Zhang, Xu Meidong, Chen Wei Feng.Endoscopic injection sclerotherapy metal clips and treatment of peptic ulcer bleeding [J]. Chinese Clinical Medicine, 2008,15 (06) :814815.Acute nonvariceal gastrointestinal bleeding treatment guidelines quotient [J]. Journal of Internal Medicine, 2009,08 (10): 891.Endoscopic hemoclipping clinical value of highrisk peptic ulcer bleeding [J]. China Journal of Endoscopy, (02): 146.For Epinephrine Injection Alone And Injection Combined With Hemoclipthempy in treating hishrisk bleeding ulcers [J].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(wú)出血情況，1例止血無(wú)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。關(guān)鍵詞：非靜脈曲張性；消化道出血；內(nèi)鏡下治療　　1 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。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?！　?方法　　　　對(duì)于病情嚴(yán)重及由于出血量多而引發(fā)血流動(dòng)力學(xué)變化的患者要及時(shí)給予血容量補(bǔ)充，維持血壓，同時(shí)進(jìn)行監(jiān)護(hù)，當(dāng)患者病情穩(wěn)定后即胃鏡檢查?！　　　』颊咴谥委熐熬M(jìn)行胃鏡檢查，從而確定出血部位。當(dāng)注射時(shí)感覺到有阻力則停止。　　 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。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(wú)出血情況，1例止血無(wú)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，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。消化道出血的臨床主要癥狀多表現(xiàn)為便血，黑便、嘔吐等[3]。消化道出血的原因復(fù)雜，臨床在檢查發(fā)病原因時(shí)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(lái)確定。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。在搶救治療中，抗休克、迅速補(bǔ)充血容量是治療的基礎(chǔ)。而臨床治療消　道出血的方法有很多（保守治療、放射介入治療、外科手術(shù)治療、內(nèi)鏡下治療、綜合治療等），而隨著醫(yī)學(xué)技術(shù)的發(fā)展，內(nèi)鏡下治療在臨床發(fā)揮著越來(lái)越重要的作用，本次研究中筆者選取的100例非靜脈曲張性消化道出血的患者均采用內(nèi)鏡下治療其結(jié)果顯示，100例患者中在治療后有94例患者即時(shí)止血，6例患者球后潰瘍出血止血不成功，治愈率為94%。這說(shuō)明，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(lái)選擇內(nèi)鏡下止血的方法。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 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