静脉麻醉硬化剂治疗食管静脉曲张优势  

Advantages of gastroscopic injection of sclerosing agent under intravenous anesthesia in treatment of esophageal pile

作　　者：王利明[1] 任开祥[1] 朱琳琳[2] 张春莲[1] 

机构地区：[1]安徽省蚌埠市第一人民医院消化科,233000 [2]安徽省蚌埠市第一人民医院麻醉科,233000

出　　处：《淮海医药》2009年第2期98-99,共2页Journal of Huaihai Medicine

基　　金：蚌埠市科技局科技计划项目(2006-17)

摘　　要：目的探讨静脉麻醉在食管静脉曲张内镜硬化剂治疗可行性。方法分析静脉麻醉下胃镜治疗食管胃静脉曲张患者24例56例次,采用静脉注射异丙酚、氯胺酮联合麻醉,待患者入睡后进行胃镜介入硬化剂治疗,观察术前、术中、术后的血压、心率、血氧饱和度、不良反应。统计手术成功率等。结果56例次接受静脉麻醉胃镜治疗55例次顺利完成。1例次在操作5 min后有连续呛咳停止操作,1例次在操作中有心率下降,给予用阿托品处理后缓解完成操作。无严重不良反应及并发症。结论静脉麻醉下食管胃静脉曲张胃镜硬化剂治疗,可以提高治疗成功率,提高患者的耐受性和依从性,是一种较安全、有效、可行的方法。但存在着不可忽视的不良反应,必须重视。Objective To study application of intravenous anesthesia in gastroscopic injection of sclerosing agent. Methods The methods were analyzed of gastroscopic injection of sclerosing agent in treating 24 cases of esophageal pile 56 times under intravenous anesthesia. Injection of sclerosing agent was conducted after sufferers had fallen asleep and been injected propofol and ketamine. Blood pressure, heart rate,oxygen saturation of blood were observed before, during and after the operation. Success rate of operation was calculated. Results Among the 56 times gastroscopic injection of sclerosing agent,55 times were perfect. One stopped after 5 minutes because of severe choke. One case was interrupted to inject atropin because of decline of heart rate. No severe untoward effect and complications occurred. Conclusion The gastroscopic injection of sclerosing agent in treating esophageal pile under intravenous anesthesia can improve the success rate of the therapy, the tolerance and compliance of patients. It is a secure, effective and feasible method. But the untoward effect should not be neglected.

关 键 词：静脉麻醉 食管静脉曲张 内镜硬化剂治疗 

分 类 号：R571.3[医药卫生—消化系统]