急诊内镜治疗食管贲门胃底静脉曲张活动出血200例  

Endoscopic therapy of 200 patients with acute gastro-esophageal variceal bleeding

作　　者：李坪[1] 成军[1] 毛羽[1] 胡居龙[1] 蒋煜[1] 

机构地区：[1]北京地坛医院内镜室,北京市100011

出　　处：《世界华人消化杂志》2008年第1期90-93,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨急诊内镜治疗食管贲门胃底静脉曲张活动出血的疗效.方法:内镜下套扎、硬化和栓塞等治疗手段治疗200例食管贲门胃底静脉曲张活动出血.结果:200例食管贲门胃底静脉曲张活动出血患者,经急诊内镜治疗仅4例术中死亡,止血成功率98%.术后2wk内因为各种原因死亡32例,病死率16%.结论:食管静脉破裂出血,贲门静脉曲张破裂出血,套扎效果好.胃底静脉曲张出血应首选注射人体组织胶栓塞.AIM： To study the effect of endoscopic therapy for acute gastro-esophageal variceal bleeding in 200 patients. METHODS： We used ligation, sclerosis and embolism under endoscope to control acute gastroesophageal varices bleeding in 200 patients. RESULTS： Four patients died during endoscpic therpy. The hemostasis success rate was 98%. Thirty-two patients died within 2 wk. The total death rate was 16%. CONCLUSION： Ligation has a a rather good effect on esophageal variceal bleeding. Embolism is the first choice of treatment for gastro-esophageal variceal bleeding.

关 键 词：食管贲门胃底静脉曲张 出血 内镜治疗 

分 类 号：R575.2[医药卫生—消化系统]