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内窥镜下硬化剂注射治疗儿童门脉高压性食管静脉曲张出血的疗效 被引量:2

Endoscopic sclerotherapy of esophageal varices in children with portal hypertension
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摘要 目的 评价内窥镜下硬化剂注射治疗儿童门脉高压性食管静脉曲张的疗效。方法 回顾1996~1999 年5 例11 次的硬化剂注射。其中4 男1 女,平均年龄6.2 岁。4 例在外院行脾切除,2例脾切除后复发出血。1 例行分流术,1 例行食管下端曲张静脉断流术。5 例均因出血经药物治疗控制后行内窥镜下硬化剂注射治疗。结果 4 例注射2 次,1 例注射3 次,出血控制,近期(治疗结束后1 个月内)总止血率为100% 。结论 硬化剂注射治疗门脉高压性食管静脉曲张破裂出血,在儿童应为可行的疗法。 Objective To evaluate the efficacy of sclerotherapy of esophageal varices in children with portal hypertension.Methods The records of five children with portal hypertension and esophageal varices who underwent 11 sclerotherapy were reviewed. The mean age of the children (M:F=4:1) was 6.2 years. Of the 4 children who had splenectomy, 2 suffered from esophageal varicose bleeding. One patient had shunt operation and one had transection of the esophageal varices. Results Of the five patients, 4 had two sclerotherapy injections and 1 had 3 sclerotherapy injections. Short term follow up (1 month) did not demonstrate any rebleeding. Conclusion Sclerotherapy of esophageal varices in children with portal hypertension is a feasible procedure.
出处 《中华小儿外科杂志》 CSCD 2000年第1期25-27,共3页 Chinese Journal of Pediatric Surgery
关键词 门静脉高血压 硬化疗法 内窥镜 食管静脉曲张 Esophageal and gastric varices Hypertension Portal Sclerotherapy
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  • 1蒋吕品,中华消化杂志,1984年,4卷,233页
  • 2蒋吕品,中华消化杂志,1983年,3卷,91页

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