硬化剂治疗食管静脉曲张破裂出血临床分析

Clinical Analysis of the Therapeutic Effect of Sclerotherapy on Bleeding from Esophageal Varices

目的:比较硬化剂联合生长抑素与单用生长抑素治疗食管静脉曲张破裂出血,总结急诊硬化剂治疗的疗效特点。方法:39例患者采用联合治疗方案,42例接受生长抑素单独治疗,分别观察并记录出血情况及并发症。结果:治疗组急诊止血率92.3%,并发症发生率10.25%,近期再出血率为7.87%;而对照组则分别为81.0%、2.38%及37.5%,近期再出血率比较有统计学意义(P<0.01)。结论:硬化剂与生长抑素联用治疗食管静脉曲张破裂出血,止血效果好、适应证宽、并发症少及近期再出血率低。

Objective:To compare the therapeutic effects of somatostatin with or without curing agent in the treatment of bleeding from esophageal varices in emergency.Methods:The hemorrhage condition and complication were recorded in both therapeutic alliance treated group(39 patients)and somatostatin treated group(42 patients).Results:The rates of hemostasis,incidence of complications and the short-term relapsed were 92.3%,10.25%,7.87%,respectively.in alliance treated group and 81.0%,2.38%,37.5%,respectively in somat...