孟氏液在内镜下硬化治疗食管静脉曲张并发出血中的应用  

Application of Monse's solution in bleeding in endoscopic sclerotherapy for esophageal varices

作　　者：董琳 李宏亮 冶正财 郭锐芳 

机构地区：[1]宁夏人民医院消化内科,宁夏750001

出　　处：《临床肝胆病杂志》2015年第9期1444-1446,共3页Journal of Clinical Hepatology

摘　　要：目的观察孟氏液在内镜下硬化治疗食管静脉曲张并发出血中的作用。方法选取宁夏人民医院2013年2月-2015年2月肝硬化食管静脉破裂出血的患者116例。行内镜下硬化治疗,退针后出血46例,对其采用15%孟氏液局部喷洒,观察其瞬间止血及后期止血效果。结果 46例在行内镜下硬化治疗中出血的患者喷洒15%孟氏液后出血点处立即形成凝固物,未再出血,术后1周观察患者血压、脉搏,检查便潜血及血常规也未见活动性出血迹象。1周后复查胃镜出血处针眼已消失,持续有效率100%。结论孟氏液局部喷洒治疗有效率为100%,而且方法简单,取材容易,不良反应少,患者经济负担轻,是治疗硬化治疗出血并发症的最佳选择。Objective To investigate the effects of Monsel＇s solution on bleeding in endoscopic sclerotherapy for esophageal variccs. Methods One hundred and sixteen patients with cirrhosis and esophageal variceal bleeding who were admitted to our hospital from February 2013 to February 2015 were enrolled as subjects. All patients received endoscopic sclerotberapy. Forty - six patients had hemorrhage ＇after removal of needles, and they were treated with topical spraying of 15% Monsel＇s solution. The instant and long - term hcmostatic effects were evaluated. Results After spraying of 15% Monsel＇s solution, the immediate formation of coagnlum and no bleeding were foumt in thc bleeding spots of 46 patients undergoing bleeding in endoscopic sclerotherapy. At one week after surgery, the blood pressure, pulse, fecal occult blood, and routine blood indices were evaluated, and no signs of active bleeding were found. Conclusion The response rate of topical spraying of Monsel＇s solution is 100%. Moreover, with a convenient preparation, few adverse reactions, and low economic burden on patients, the simple method is the best choice in the treatment of bleeding in sclerothcrapy.

关 键 词：肝硬化 食管和胃静脉曲张 手术后出血 硬化治疗 孟氏液 

分 类 号：R575.2[医药卫生—消化系统]