食管静脉曲张破裂大出血的急诊内镜下硬化治疗体会  

Emergency sclerotherapy in massive hemorrhage from esophagogastric varices

作　　者：许杰[1] 王利明[1] 张春莲[1] 

机构地区：[1]安徽省蚌埠市第一人民医院消化内科,安徽蚌埠233000

出　　处：《安徽医药》2005年第6期441-442,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨食管静脉曲张破裂大出血患者在急诊内镜下行硬化治疗(EIS)的方法。方法70例食管静脉曲张破裂大出血患者采用5%鱼肝油酸钠食管曲张静脉内注射。结果首次EIS能明确出血部位67例,止血成功68例,并发症9例,死亡1例。结论EIS是急诊救治食管静脉曲张大出血相对安全有效的方法。Aim To evaluate the effectiveness of emergency endoscopic injection sclerotherape(EIS)in massive hemorrhage from esophagogastric varices.Methods Endoscopic injection of 5% sodium morrhuate was used to control esophagogastric variceal bleeding in 70 patients.Results The exact bleeding site at the first procedure could be visualized in 67 patients.EIS was effective in 68 patients.Complications of EIS occurred in 9 cases,of which 1died.Conclusion Endoscopic injection scelerotherapy is relatively safe and effective in the treatment of massive hemorrhage from esophagogastvic varices.

关 键 词：食管静脉曲张破裂大出血 内镜下硬化 治疗体 食管静脉曲张大出血 5%鱼肝油酸钠 大出血患者 静脉内注射 硬化治疗 急诊内镜 食管曲张 出血部位 相对安全 急诊救治 EIS 并发症 

分 类 号：R571.3[医药卫生—消化系统] TH789[医药卫生—内科学]