食管静脉曲张破裂大出血急诊硬化治疗的体会  

Emergent Sclerotherapy For Bleeding Esophagogastric Varices

作　　者：曹惠明[1] 陈丽华[1] 吴凌东[1] 

机构地区：[1]江苏省宜兴市人民医院消化内科,江苏宜兴214200

出　　处：《临床医学工程》2009年第12期83-84,共2页Clinical Medicine & Engineering

摘　　要：目的探讨食管静脉曲张破裂大出血时急诊硬化治疗的临床效果。方法56例大出血患者行急诊食管静脉内注射5%鱼肝油酸钠,共71例次,其中11例次活动性大出血在改良三腔管牵引下内镜硬化治疗(EIS),7例次经再次EIS时出血停止。结果首次EIS能明确出血部位51例(91.1%)。急诊止血率为92.1%,并发症4例,发生率7.1%,EIS中并发大出血引起死亡1例。结论急诊EIS是救治致死性食管静脉曲张大出血一种有效办法,改良三腔管牵引下行EIS,安全、操作方便,适用于基层医院。Objective To evaluate the effective of emergent endoscopic injection sclerotherapy（EIS ）for lethal bleeding esophagogastric varices. Methods Endoscopic injection of 5% sodium morrhuate was used to control esophagogastric variceal bleeding in 56 patients. In all 71 cases, 11 cases who suffered from acute lethal bleeding esophagogastric varices received endoscopic variceal sclerotherapy under the press of modified Senstaken-Blakemore tube. Multiple procedures were necessary for the 7 cases of relapse of bleeding. Results The exact bleeding site at the first procedure could be visualized in 51 patients（91.1%）. The effective rate of EIS was 92.1%.Complications of EIS occurred in 4 cases（7.1%）, of which one died. Conclusions Endoscopic injection sclerotherapy under the press ＆modified Senstaken-Blakemore tube is relatively safe and effective procedure in the treatment of lethal bleeding esophagogastric varices.

关 键 词：食管静脉曲张 大出血 硬化治疗 改良三腔管 

分 类 号：R573.2[医药卫生—消化系统]