传染病信息
傳染病信息
전염병신식
INFECTIOUS DISEASE INFORMATION
2014年
2期
97-99
,共3页
张文辉%李莉%韩军%王艳玲%王新真%向璐%刘亭亭%刘影%金波%李捍卫
張文輝%李莉%韓軍%王豔玲%王新真%嚮璐%劉亭亭%劉影%金波%李捍衛
장문휘%리리%한군%왕염령%왕신진%향로%류정정%류영%금파%리한위
肝硬化%食管和胃镜脉曲张%胃肠出血%栓塞,治疗性
肝硬化%食管和胃鏡脈麯張%胃腸齣血%栓塞,治療性
간경화%식관화위경맥곡장%위장출혈%전새,치료성
liver cirrhosis%esophageal and gastric varices%gastrointestinal hemorrhage%embolization,therapeutic
目的：回顾性分析急诊内镜治疗肝硬化合并贲门区曲张静脉破裂出血的疗效。方法以内镜下硬化术、套扎术和组织粘合剂栓塞术等手段治疗134例肝硬化合并贲门区曲张静脉破裂出血。结果134例中，121例（90.3%）止血成功，内镜下硬化术和组织粘合剂栓塞术的止血率分别为89.8%和95.8%。死亡4例，72 h内病死率为4.5%，原因为失血性休克、肝性脑病和多脏器功能衰竭。胃镜操作过程中未见死亡病例。结论肝硬化合并贲门区曲张静脉破裂出血，以内镜下硬化术和栓塞术治疗可获得较好的近期效果。
目的：迴顧性分析急診內鏡治療肝硬化閤併賁門區麯張靜脈破裂齣血的療效。方法以內鏡下硬化術、套扎術和組織粘閤劑栓塞術等手段治療134例肝硬化閤併賁門區麯張靜脈破裂齣血。結果134例中，121例（90.3%）止血成功，內鏡下硬化術和組織粘閤劑栓塞術的止血率分彆為89.8%和95.8%。死亡4例，72 h內病死率為4.5%，原因為失血性休剋、肝性腦病和多髒器功能衰竭。胃鏡操作過程中未見死亡病例。結論肝硬化閤併賁門區麯張靜脈破裂齣血，以內鏡下硬化術和栓塞術治療可穫得較好的近期效果。
목적：회고성분석급진내경치료간경화합병분문구곡장정맥파렬출혈적료효。방법이내경하경화술、투찰술화조직점합제전새술등수단치료134례간경화합병분문구곡장정맥파렬출혈。결과134례중，121례（90.3%）지혈성공，내경하경화술화조직점합제전새술적지혈솔분별위89.8%화95.8%。사망4례，72 h내병사솔위4.5%，원인위실혈성휴극、간성뇌병화다장기공능쇠갈。위경조작과정중미견사망병례。결론간경화합병분문구곡장정맥파렬출혈，이내경하경화술화전새술치료가획득교호적근기효과。
Objective To retrospectively analyze the effect of endoscopic therapy on acute cardiac variceal bleeding in pa-tients with liver cirrhosis. Methods Endoscopic injection sclerotherapy, endoscopic variceal ligation and embolization were used in the management of acute cardiac variceal bleeding in 134 cirrhotic patients. Results Variceal bleeding was controlled in 121 patients ( 90 . 3%) , by endoscopic injection sclerotherapy in 97 patients ( 89 . 8%) and embolization in 23 patients ( 95 . 8%) . Four patients died from hemorrhagic shock, hepatic encephalopathy and multiple organ failure, and the 72-hour mortality was 4.5%. No patient died during endoscopic procedure. Conclusion Endoscopic injection sclerotherapy and embolization can achieve good short-term effects in the management of cardiac variceal bleeding in cirrhotic patients.
