施他宁和三腔二囊管对肝硬化并食道胃底静脉曲张破裂大出血的疗效观察

The Observation of Stilamin and Sengstaken-Blackmore Tube in Treating Large Hemorrhage due to Cirrhosis Combined Esophageal and Fundal Varices

目的:观察、比较施他宁和三腔二囊管对肝硬化并食道胃底静脉曲张破裂大出血的止血疗效。方法:对1996年1月至2002年10月共收治的102例肝硬化并食道胃底静脉曲张破裂大出血患者随机分为两组,分别使用施他宁(A组)和三腔二囊管压迫法(B组)治疗,观察两组的止血效果和副作用。结果:A组总有效率为85％,B组总有效率为76％(P>0.05),但A组无明显副作用。结论:施他宁治疗肝硬化并食道胃底静脉曲张破裂大出血早期疗效与三腔二囊管压迫法无明显差异,但副作用小,安全性高。

Objective: To observe and compare the effect of stilamin and Sengstaken-Blackmore Tube in the treatment of large hemorrhage due to cirrhosis combined esophageal and fundal varices. Methodes: 102 of the cases were divided into 2 groups randomly during 1996. 1 ~ 2002. 10, treated by stilamin (A group) and Sengstaken-Blackmore Tube (B group) to observe the effect and the side action. Results: The effective rate in the A group(85% ) and in the B group(75% ) was different no significantly (P > 0. 05), but no obvious side effect in the A group. Conclusions: There is an efficacy of and Sengstaken-Blackmore Tube in the treatment of large hemorrhage due to cirrhosis combined esophageal and fundal varices, but stilamin was more safety.