摘要
EVL治疗食管静脉曲张破裂出血39例，结扎时活动性大出血34例，5d内出血5例。39例进行102次963处结扎，其中29例经2～5次密集结扎后15例食管静脉曲张消失，显效率51．7％，13倒退缩到I度，总有效率96．6％。34例活动姓大出血患者40次紧急结扎，40例次立即止血，2例72h内再出血，急诊止血率95％。39例中肝功能ChildC级17例，占43．6％，均能安全接受治疗，水后无1例并发症及肝功能损害加重。存活34例，15例恢复工作。13例14～23月（平均18．4月）复查，2例复发食管静脉曲张再行EVL。EVL治疗食管静脉曲张破裂出血疗效确切、安全、操作简便。
The First People's Hospital of Kunming, Yunnan 650011, P. R. China \;Esophageal variceal ligation (EVL) was used to treat 39 patients with esophageal variceal bleeding. Active bleeding in 34 patients was treated with 40 emergency EVL sessions, and bleeding was controlled in 38 of the 4o EVL sessions (95 % ). Variceal eradication or redvction to Grade I after two to five consecutive intensive EVL sessions was achieved in 28 of 29 patients (96. 6 % ). No major EVL - related complications were observed. This procedure is a safe, effective and rather simple method for treating esophageal variceal bleeding.
出处
《中国内镜杂志》
CSCD
1997年第6期8-9,共2页
China Journal of Endoscopy
关键词
食管静脉曲张
出血
内镜
结扎术
Esophageal varices
Hemorrhage
Endoscopic ligation
