内镜下序贯法局部注射肾上腺素和无水乙醇治疗上消化道出血

LOCAL SEQUENTIAL INECTION OF ADRENALIN AND AB80LUTE ETHYL ALCOHOL TREATING GASTROINTESTINAL TRACT BLEEDING UNDER ENDOSCOPE

本文报道内镜下局部序贯法注射１：２００００肾上腺素、无水乙醇治疗上消化道出血５４例，初次止血成功率９６．３％。２４小时至７天内镜复查２２例（渗血８例，喷射性出血１４例），再出血者仅６例（１１．５％），均予第二次局部注射，３例效果明显。结果持久止血率为９０．７％。与静脉点滴甲氰咪胍组相比，有显著性差异（Ｐ＜０．０１），且无一例发生并发症。

patients,with upper gastrointestinal tract bleeding treated by injection of a-drenalin(1:20000)and absolute ethyl alcobol were reported. and 96.3%(52/51)of the patientsstopped bleeding immediately during initial injection. 22 patients( oozing bleeding 8,spurting bleeding14 )were checked from 2 4 hours to 7 days after the initial injection, Among those, six were reinjectedand three of them showed good results. 90.7%of bleedings were stoplsed perinanently. Compared withintravenous infusion of cimetidine (effetive rate 75%),the difference was signficant(P<0.01 ),andno complications were observed.