内镜治疗食管胃底静脉合并直肠静脉曲张破裂大出血2例  

Endoscopic treatment of esophagogastric variceal bleeding with rectal variceal bleeding:Report of two cases

作　　者：马海文 张锦华 丁向萍[2] 于国伟[1] 马万军 杨杰[1] 马伟林 Hai-Wen Ma;Jin-Hua Zhang;Xiang-Ping Ding;Guo-Wei Yu;Wan-Jun Ma;Jie Yang;Wei-Lin Ma(Medical Department of Northwest Minzu University,Lanzhou 730030,Gansu Province,China;Department of Gastroenterology,Affiliated Hospital of Northwest Minzu University and the second people’s Hospital of Gansu Province,Lanzhou 730000,Gansu Province,China)

机构地区：[1]西北民族大学医学部,甘肃省兰州市730030 [2]西北民族大学附属医院暨甘肃省第二人民医院消化内科,甘肃省兰州市730000

出　　处：《世界华人消化杂志》2020年第21期1102-1106,共5页World Chinese Journal of Digestology

摘　　要：背景食管胃底静脉曲张破裂是肝硬化失代偿期门静脉高压最常见、最严重的并发症之一,但合并直肠静脉曲张破裂大出血的情况在临床上较少见,若处理不及时或方法不当会造成致命性的后果.病例简介本文报道的2例患者都是食管胃底静脉合并直肠静脉曲张破裂大出血,在内科药物治疗同时,在内镜下行硬化套扎治疗后成功止血.结论临床医师在治疗消化道出血时,应拓宽思路,考虑此类情况的发生.BACKGROUND Esophagogastric variceal bleeding is one of the most common and serious complications of portal hypertension in patients with decompensated cirrhosis.However,esophagogastric variceal bleeding with rectal variceal bleeding is clinically rare.If not treated timely or properly,it will cause fatal consequences.CASE SUMMARY This paper reports two cases of esophagogastric variceal bleeding complicated with rectal varices bleeding.The bleeding was stopped successfully using endoscopic sclerotherapy and ligation method on the basis of drug treatment.CONCLUSION Clinicians should broaden their thinking and consider the occurrence of such a situation during the treatment of gastrointestinal bleeding.

关 键 词：食管胃底静脉套扎硬化 直肠静脉套扎 肝硬化失代偿期 门静脉高压 

分 类 号：R575.2[医药卫生—消化系统]