经内镜金属钛夹治疗消化道急性大出血

目的 探讨经内镜金属钛夹治疗消化道急性出血的适应证、疗效及安全性.方法 使用Olympus HX-600-135型钛夹治疗非静脉曲张性消化道急性大出血患者94例.结果 94例中即时止血率91.5%（86/94）,止血后再发出血率仅2.3%（2/86）.结论 内镜钛夹治疗各种非静脉曲张性消化道急性大出血是一种安全、有效、经济、简便的治疗措施.

Endoscopic hemoclip in treatment of acute gastrointestinal bleeding

Objective To investigate the indications,efficacy and safety of endoscopic hemoclip in the treatment of acute gastrointestinal bleeding.Methods 94 patients with active non-variceal bleeding or non-bleeding visible vessels were treated by endoscopic hemoclip.An Olympus HX-5LR-1 titanic clip adjuster and HX-600-135 metal titanic clip were used to focus on both end of the bleeding area and clip the bleeding vessel and the nearby tissue.Results Except 4 patients with peptic ulcer,2 patients with gastric cancer,1 patients with Dieulafoy's disease and 1 patients with hemorrhage because of colon cancer after treatment,initial hemostasis succeded in 86 patients(91.5%).Recurrent hemorrhage occurred in 2 patients with Dieulafoy's disease and bile duct-duodenum fistula,respectively.Conclusion Endoscopic hemoclip is effective and safe in treatment of gastrointestinal bleeding.