吸引器连接管联合胃镜可视性清除血凝块装置在上消化道大出血中的应用

Application of suction connecting tube combined with gastroscopy visual blood clot removal device to upper gastrointestinal bleeding

摘要:

为探究吸引器连接管联合胃镜可视性清除血凝块装置在上消化道大出血患者血凝块清除术中的应用价值，本研究回顾性分析 2023 年 1 月至 2024 年 6 月中部战区总医院消化内科收治的18例使用该装置清除消化道内血液及血凝块的上消化道大出血患者的临床资料，观察治疗效果。结果显示 18 例患者应用装置的操作时间为 4～16 min（8.2±3.1）min。清除血凝块及血液总量为 120~500 mL（221.1±97.1）mL。17例患者一次性清除血液及血凝块，达到止血成功标准，成功率为 94.4%；1例胃癌并出血患者，内镜下无法止血治疗，后续行外科手术治疗。患者均未出现严重并发症。吸引器连接管联合胃镜可视性清除血凝块装置可高效清除消化道内血凝块及血液，极大改善视野，提高止血成功率，临床价值高，值得推广应用。

Abstract:

In order to explore the application value of the suction connecting tube combined with gastroscopy visual blood clot removal device in the blood clot removal surgery of patients with upper gastrointestinal bleeding, the clinical data of 18 patients with upper gastrointestinal bleeding treated with this device at the Department of Gastroenterology, General Hospital of Central Theater Command from January 2023 to June 2024 were retrospectively analyzed to observe its therapeutic effect. The results showed that the operation time of the device for 18 patients ranged 4-16 minutes (8.2±3.1 min). The total volume of blood clots and blood cleared ranged 120-500 mL (221.1±97.1 mL). Blood and blood clots were successfully removed in a single procedure in 17 patients, with a success rate of 94.4%. Hemostasis was unsuccessful in 1 patient with gastric cancer and bleeding under endoscopy, and subsequent surgical treatment was performed. No serious complication occurred. The suction connecting tube combined with gastroscopy visual blood clot removal device can effectively remove blood clots and blood in the digestive tract, with improved vision and higher success rate. It demonstrates high clinical value, which is worth promotion and application.