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三腔二囊管治疗贲门黏膜撕裂导致的上消化道大出血 被引量：4

Sengstaken-Blakemore tubes in treatment of upper gastrointestinal hemorrhea induced by Mallory-Weiss tear
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摘要 目的评估三腔二囊管是否能用于贲门黏膜撕裂导致的致命性上消化道大出血的抢救。方法 3例贲门黏膜撕裂患者均在短时间内大量呕血并排暗红色血便,胃镜下止血不成功,紧急行三腔二囊管压迫止血治疗。结果 3例患者均在三腔二囊管压迫后立即停止呕血,血便逐渐停止,血红蛋白水平逐渐稳定,休克得到纠正。结论三腔二囊管是一种简单、有效和经济的治疗贲门黏膜撕裂导致的上消化道大出血的方法,适应证必须是常规保守治疗和内镜下止血治疗无效或无条件行急诊胃镜的患者。 Objective To evaluate the feasibility of Sengstaken-Blakemore tubes in treatment of upper gastrointesti- nal hemorrhea induced by Mallory-Weiss tear. Methods Three Mallory-Weiss tear patients omitted blood accompany with hemorrhagic shock in a short time. Hemostasis by gastroscope was unsuccessful. The Sengstaken-Blakemore tube was emergency used to stop bleeding. Results Immediate control omitted blood was achieved in three patients. The levels of hemoglobin of patients were stable by degrees, and the hemorrhagic shock was corrected. Conclusion The Sengstaken-Blakemore tube is a kind of simple, effective and economic method for the treatment of upper gastrointestinal hemorrhea induced by Mallory-Weiss tear. The indication must be the ineffective hemostasis by conventional expectant and endoscope treatment or emergency gastroscope is inability.
作者 王继恒 王晓伟 王昕 贾康妹
机构地区 北京军区总医院消化内科
出处 《胃肠病学和肝病学杂志》 CAS 2013年第10期1003-1005,共3页 Chinese Journal of Gastroenterology and Hepatology
关键词 三腔二囊管 贲门黏膜撕裂 上消化道出血 胃镜 休克 Sengstaken-Blakemore tube Mallory-Weiss tear Upper gastrointestinal hemorrhea Gastroscope Shock
分类号 R573.2 [医药卫生—消化系统]
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参考文献13

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同被引文献30

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胃肠病学和肝病学杂志
2013年 第10期

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