摘要
为了观察内镜下注射治疗对非食道静脉出血的疗效,该文对1994年1月~1998年1月用5%鱼肝油酸钠硬化治疗过的非食道静脉曲张出血病人42例进行了研究。其中32例为溃疡病,2例为复合溃疡或多发溃疡,5例为急性胃粘膜病变,1例为贲门粘膜撕裂,1例为Dieulafoy病,1例为胃癌。出血方式:喷血或搏动出血3例(7.1%),渗血37例(88.1%),暂无出血的血管断端和血凝块4例(9.5%)。在局部注射5%鱼肝油酸钠硬化治疗后,39例病人出血停止(占92.9%),即刻止血率为73.8%(31例),3d止血率为81.0%(34例)。硬化后未见到明显并发症。结论:内镜下注射治疗非食道静脉曲张出血安全、有效。
In order to investigate the effects of endoscopic injection for nonvariceal upper gastrointestinal hemorrhage,We studied 42 paients who had been treated with local injection of 5% sodium morrhuate under endoscopy from January 1994 to Januray 1998.There were 32 cases of peptic ulcer,two of coexistent ulcers or multiple ulcers,five of acute gastric mucosal erosino,one of mallory-weiss syndrome ,one of Dieulafory disease,one of gastric carcinoma.The severity of hemorrhage was as follows:spurting or pulsation,three cases (7.1%);oozing,37 cases (88.1%);nonbleeding visible vessel and clot,four(9.5%).After local injection of 5% sodium morrhuate,the hemorrhage in 39 case (92.9%)was stopped.Hemostatic rate immediately was 73.8%(31 cass )and 81.0%(34 cases) in 72 hours. No obvious complications was found after the injection .This results suggest endoscopic injection for nonvariceal upper gastrointestinal hemorrhage was effective and safe.
出处
《中国内镜杂志》
CSCD
1998年第5期9-10,共2页
China Journal of Endoscopy
关键词
上消化道出血
鱼肝油酸钠
内镜
药物疗法
Upper gastrointestinal hemorrhage
Local injection
Sodiummorrhuate