<section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">多朋友来医院看病都遇到过这种情况，</span></section><p><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">做一个胃镜检查，</span></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">为什么医生还要开抽血、</span></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">心电图检查呢？</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important"><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;font-size: 16px;color: rgb(89, 87, 87);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important">于是，心生疑虑：是不是医院、医生滥检查、乱收费呢？</span></strong></span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">有些甚至会当面质问医生：“有什么病就查什么，不相关的检查不是让我多花钱吗？我是做胃镜检查的，查梅毒、艾滋病干什么？这明显是乱收费嘛！！！”</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87);visibility: visible">今天，就让小编来给大家简单地说说术前检查这些事儿。</span></section><section><br/></section><section><img alt="图片" class="rich_pages wxw-img" src="https://mmbiz.qpic.cn/mmbiz_png/zGh67tpfH5EI0D8LeT7TwQalOI7aU2Aw7jerjPspF95gIbZ7kSo1DoIh8Tmmhh6iaLdyCmxtQvuATsmXyGSJaXA/640?wx_fmt=png&wxfrom=10005&tp=webp&wx_lazy=1&wx_co=1"/></section></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;color: rgba(0, 0, 0, 0.9);font-family: &#39;PingFang SC&#39;, system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;text-wrap: wrap;background-color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important"><br/></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;color: rgba(0, 0, 0, 0.9);font-family: &#39;PingFang SC&#39;, system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;text-wrap: wrap;background-color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important"><br/></p><p><section><br/></section></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;font-size: 17px;text-wrap: wrap;letter-spacing: 0.578px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;PingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;background-color: rgb(255, 255, 255);text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important"><img alt="图片" class="rich_pages wxw-img js_insertlocalimg" width="388px" src="https://mmbiz.qpic.cn/mmbiz_png/mzW25Q38msgicsVrb1lcuAnJhUfGE4B9hE5OJ4GoQsbmv6L9DuSgZFGYvUsZQo1NoHCV4AvrhCgVswrW2NclOnQ/640?wx_fmt=png&from=appmsg&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></p><p><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: rgb(255, 104, 39)"><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important">01</strong></span></section><section><section><section><br/></section></section></section><section><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px;font-size: var(--articleFontsize)"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: rgb(255, 104, 39)"><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px">为什么要抽血检查？</span></strong></span></strong></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">胃肠镜检查前一般需要检验的血液项目有：血常规、术前四项（也叫术前感筛）、凝血四项。</span></section><section><br/></section><section><section><h2 style="-webkit-tap-highlight-color: transparent;margin: 10px 0px;padding: 5px 10px;outline: 0px;font-size: 16px;max-width: 100%;border-left: 5px solid rgb(255, 104, 39);line-height: 32px;color: rgb(255, 104, 39);box-sizing: border-box !important;overflow-wrap: break-word !important"><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px;color: rgb(89, 87, 87)">1、血常规<br/></span></section></h2></section></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;letter-spacing: 0.034em;color: rgb(89, 87, 87)">主要评估患者有无炎症、重度贫血或血小板明显降低，这些指标也往往是提示某些胃病，也能指导内镜医生在检查、诊断时候有所注意和侧重；<br/></span></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">另外，血小板数目还能判断凝血机能、出血倾向，在需要活检或镜下治疗的时候会引起注意。</span></section><section><br/></section><section><img alt="图片" class="rich_pages wxw-img" src="https://mmbiz.qpic.cn/sz_mmbiz_png/zGh67tpfH5Hb3J7CwCngf80UUoFj0bmVqEnMZGial6iaDIib8tGpIsr1yAAjNFngy7Qor14SWnDib539iaWhFQwCW6g/640?wx_fmt=png&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></section><section><br/></section><section><br/></section><section><section><h2 style="-webkit-tap-highlight-color: transparent;margin: 10px 0px;padding: 5px 10px;outline: 0px;font-size: 16px;max-width: 100%;border-left: 5px solid rgb(255, 104, 39);line-height: 32px;color: rgb(255, 104, 39);box-sizing: border-box !important;overflow-wrap: break-word !important"><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px;color: rgb(89, 87, 87)">2、术前感染筛查（术前四项）<br/></span></section></h2></section></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">目前大多数医院需要检查的项目是：乙肝、梅毒、丙肝、艾滋。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">在三级医院，术前四项检查现在是常规项目，所有手术、侵入式检查、比如胃肠镜都要作。这是硬性规定，否则可以不予手术或检查。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">首先，四项检查不仅是临床治疗的需要，也是为了避免医源性感染，保护更多住院病人的安全，切断医源性感染；</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">其次，对于医护人员的职业防护也具有重要意义。医务人员每天接触各种疾病的患者以及患者的体液、血液、分泌物时，遭受感染的几率会增大。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">据相关研究，医务人员每年受锐器损伤的比例高达11％～24％，其中因锐器损伤而导致的感染中，丙肝占62％，艾滋病占3.2％，乙肝占34％。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">因此，术前对患者进行四项检查，如果发现阳性患者，可以警示医务人员格外注意。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">患有传染病的患者不能同普通病人住同一房间，手术时也要安排到特殊感染手术室；</span></section><section><br/></section><section><img alt="图片" class="rich_pages wxw-img" src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/zGh67tpfH5Hb3J7CwCngf80UUoFj0bmVBkdQgtLkcFHPneic07B3q1SJRibAL0z1RR8LH4uYz9HPcqKpR2f91abQ/640?wx_fmt=jpeg&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></section></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;color: rgba(0, 0, 0, 0.9);font-family: &#39;PingFang SC&#39;, system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;text-wrap: wrap;background-color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important"><br/></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;color: rgba(0, 0, 0, 0.9);font-family: &#39;PingFang SC&#39;, system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;text-wrap: wrap;background-color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important"><br/></p><p><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">因为胃镜和肠镜是消毒后重复使用的，如有特殊感染，需要专门消毒处理，避免交叉感染；</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">携带这几类病原体的患者使用的胃镜、非一次性器械，都要经过特殊的消毒程序，如使用单独的消毒包，除了一般的消毒流程外还要多次消毒，并进行相关指标的检验。</span></section><section><br/></section><section><section><h2 style="-webkit-tap-highlight-color: transparent;margin: 10px 0px;padding: 5px 10px;outline: 0px;font-size: 16px;max-width: 100%;border-left: 5px solid rgb(255, 104, 39);line-height: 32px;color: rgb(255, 104, 39);box-sizing: border-box !important;overflow-wrap: break-word !important"><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px;color: rgb(89, 87, 87)">3、凝血机能（凝血四项）<br/></span></section></h2></section></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">凝血系列检查主要评估凝血功能是否正常，因为做胃肠镜检查，有时会取活检，还可能会蹭伤粘膜、遇到小的胃肠道息肉直接切除处理，如果凝血功能不好，会导致出血量较多、甚至引发大出血，危及生命。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">有些患者长期服用阿司匹林、布洛芬、华法林、氯吡格雷等抗凝、和消炎止痛类药物，以及某些激素类药物，活检或切除术时易出血，这时便需要完善凝血功能检查才能明确；</span></section><section><img alt="图片" class="rich_pages wxw-img" src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/zGh67tpfH5Hb3J7CwCngf80UUoFj0bmVl4OXiba0r6KX2884qhFhWEicp50jics7dh2nWNuicggDQRAauib6APiaP4QQ/640?wx_fmt=jpeg&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">还有极少数人是隐性出血性疾病，比如血友病，很可能在胃肠镜检查后出血不止，出现危象。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">因此，事先知道患者的凝血情况，便于提前采取预防措施和准备，防止不良后果的发生。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">另外，顺便提醒一下：胃肠镜检查前,要停用阿司匹林、氯吡格雷、华法林等抗凝、抗血小板药至少5天！</span></section><section><br/></section><section><section><h2 style="-webkit-tap-highlight-color: transparent;margin: 10px 0px;padding: 5px 10px;outline: 0px;font-size: 16px;max-width: 100%;border-left: 5px solid rgb(255, 104, 39);line-height: 32px;color: rgb(255, 104, 39);box-sizing: border-box !important;overflow-wrap: break-word !important"><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px;color: rgb(89, 87, 87)">4、一周前化验过的，可以不用重复做<br/></span></section></h2></section></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">如果一周内曾经化验过，再胃镜和肠镜检查，可以不再重复化验，但是你需要向医生提供真实的化验单据；</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">如果超过1周，就必须重新化验血常规和凝血功能。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">因为这两项检查的时效均为1周，而术前感筛的乙肝、丙肝、梅毒、艾滋检查的时效则是3个月，也就是3个月内做过相关检查，也可以不再检查。</span></section><section><br/></section></p><p style="-webkit-tap-highlight-color: transparent;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;max-width: 100%;clear: both;min-height: 1em;font-size: 17px;text-wrap: wrap;letter-spacing: 0.578px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, &#39;Helvetica Neue&#39;, &#39;PingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei UI&#39;, &#39;Microsoft YaHei&#39;, Arial, sans-serif;background-color: rgb(255, 255, 255);text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important"><img alt="图片" class="rich_pages wxw-img js_insertlocalimg" width="388px" src="https://mmbiz.qpic.cn/mmbiz_png/mzW25Q38msgicsVrb1lcuAnJhUfGE4B9hE5OJ4GoQsbmv6L9DuSgZFGYvUsZQo1NoHCV4AvrhCgVswrW2NclOnQ/640?wx_fmt=png&from=appmsg&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></p><p><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: rgb(255, 104, 39)"><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important">02</strong></span></section><section><section><section><br/></section></section></section><section><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: var(--articleFontsize);letter-spacing: 0.578px"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: rgb(255, 104, 39)"><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.578px">为什么要做心电图？</span></strong></span></strong></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">心电图检查是为了评估患者的心脏功能，胃镜前做心电图可排查心梗前期的胃痛牵涉痛，也可为胃镜麻醉排雷。</span></section><section><img alt="图片" class="rich_pages wxw-img" src="https://mmbiz.qpic.cn/sz_mmbiz_png/zGh67tpfH5Hb3J7CwCngf80UUoFj0bmViaSRBYcpjPUAkLicsa2xuTs6u1qMblcpCYO1XxWpiaHqqRetju48CV0BQ/640?wx_fmt=png&wxfrom=10005&wx_lazy=1&wx_co=1&tp=webp"/></section><section><a target="_blank" href="http://mp.weixin.qq.com/s?__biz=MzI5OTk3MDM2MA==&mid=2247497074&idx=5&sn=a46c57d6227f1ede5570a2a2a01bb1d6&chksm=ec8ccf25dbfb46339372d5758933bead574ad613937da8037a8c2d85febf3d23d33640f392d3&scene=21#wechat_redirect" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0);padding: 0px;outline: 0px;-webkit-user-drag: none;cursor: default;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">（图源：太帅图库）</span></a></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">1、普通胃镜由于会引起患者的不适，可能会给患者带来紧张、恐惧感，甚至能诱发心脑血管意外。例如严重心肺疾患，如严重心律紊乱、心肌梗塞活动期、重度心力衰竭及哮喘、呼吸衰竭不能平卧者均为胃肠镜检查的禁忌症。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">2、心电图检查可以很直观的体现患者的心脏状况，所以胃肠镜前做心电图检查是对患者的负责。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">3、心电图检查还可能鉴别是否有心梗的存在。心梗的典型症状是心前区的急性疼痛，少数时候却表现为上腹部的疼痛（往往被误诊为胃穿孔、溃疡病或急性胰腺炎）。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">4、由于无痛胃肠镜检查需进行静脉麻醉，所以存在麻醉风险，而心电图可以及时排查患者是否存在心率失常或心肌缺血的情况，以便麻醉医生可以很好得评估患者麻醉风险，从而提供更合适的治疗方案。</span></section><section><br/></section><section><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">即便如此，麻醉胃肠镜还需要全程心电监护直到患者离开复苏室。</span></section><section><br/></section><section><strong style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style="-webkit-tap-highlight-color: transparent;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;color: rgb(89, 87, 87)">总之，在胃肠镜检查中，这四项检查和心电图检查的必要性是经过检验的，也是得到广泛认可的。这些做法，不仅是对医疗实践经验的肯定，也是最大限度、最大范围的保障公众健康。</span></strong></section></p><p><br/></p>