摘要
总结２３０例食管胃静脉曲张出血患者２８３次急诊硬化治疗（ＥＩＳ）的经验。２３０例出血患者于出血后２４小时内行２８３次ＥＩＳ，采用５％鱼肝油酸钠或１％乙氧硬化醇，食管胃静脉内注射法。２８３例次中活动性出血２５３例次，３０例次出血已停止，首次ＥＩＳ能明确出血部位共１４２例次，为６３％（１２８／２５３）。急诊止血率为９６．４％，并发症２０例，发生率８．６％，ＥＩＳ并发症引起的死亡４例，死亡率为１．７％。ＥＩＳ是食管胃静脉曲张出血的一种有效治疗方法，适应证宽，方法简便、安全。
To evaluate the effect of emergent endoscopic injection sclerotherapy(EIS)on acute bleeding from gastro esophageal varices,the endoscopic feature of bleeding site and clinical material of 230 patients with acute bleeding were analysed.177 males and 53 females,aged 13～80 years ,received 283 injections.Cirrhosis due to hepatitis accounted for the majority(223),the rest were from congenital hepatic fibrosis(3)and Budd Chiari Syndrome.EIS was conducted within 24 hr,after the onset,with 5% sodium morrhuate or 1% polidocanal.At the first sclerotic injection 253/283 active bleedings were confirmed,while the exact bleeding site could be visualiged in only 142 cases(63%).The emergent hemostatic rate of EIS was 96 4%.The complication of EIS occured in 20 cases(8 6%),of which 4 died(1 7).EIS is an effective therapeutic method for acute bleeding from gastro esophageal varices with wide indication,operative facility and safety.
出处
《中华消化内镜杂志》
1997年第5期271-273,共3页
Chinese Journal of Digestive Endoscopy
