CAJ | 학술논문

目的探讨急诊胃镜下结扎治疗食管静脉曲张破裂活动性出血.方法回顾性分析2010年12月至2012年12月在我院接受治疗的120例食管静脉曲张破裂活动性出血患者,全部食管静脉曲张破裂活动性出血患者均采用我院急诊胃镜下结扎治疗,术后三周左右对患者进行胃镜复查,观察急诊胃镜下结扎治疗的效果.结果 108患者在接受结扎手术之后出血症状均控制住,在内镜下可见食管腔内的视野清晰.有12例食管静脉曲张破裂活动性出血患者尚不能确定出血的部位,有3例患者于一天之内休克死亡.结论对于初次内镜下治疗食管静脉曲张的患者,应首选内镜下曲张静脉套扎术.
목적 탐토급진위경하결찰치료식관정맥곡장파렬활동성출혈.방법 회고성분석2010년12월지2012년12월재아원접수치료적120례식관정맥곡장파렬활동성출혈환자,전부식관정맥곡장파렬활동성출혈환자균채용아원급진위경하결찰치료,술후삼주좌우대환자진행위경복사,관찰급진위경하결찰치료적효과.결과 108환자재접수결찰수술지후출혈증상균공제주,재내경하가견식관강내적시야청석.유12례식관정맥곡장파렬활동성출혈환자상불능학정출혈적부위,유3례환자우일천지내휴극사망.결론 대우초차내경하치료식관정맥곡장적환자,응수선내경하곡장정맥투찰술.
Objective To study emergency endoscopy ligation in treatment for esophageal varices with active bleeding.Methods A retrospective analysis was carried out from December 2010 to December 2012 in our hospital to study 120 cases of esophageal varices with active bleeding.All esophageal varices patients with active bleeding in our hospital were all treated bv emergency endoscopic ligation therapy,about three weeks after surgery patients were observed the effects of emergency endoscopic ligation by gastroendoscopy.Results The bleeding symptoms of 108 patients after ligation were under control,including microscope esophageal lumen clear vision.Among them,12 cases of esophageal varices with active bleeding were not possible to determine the site of bleeding with clear vision,3 cases of bleeding were not effectively controlled,with shock and death within a day.Conclusion Initial endoscopic treatment of esophageal varices,endoscopic varices ligtion method should be used as the first choice.