CAJ | 학술논문

目的：探讨晚期血吸虫病患者贲门周围血管离断术后急性胃黏膜病变（AGML）的治疗方法。方法选择1991-2010年湖北省潜江市血吸虫病预防控制所收治的晚期血吸虫病患者贲门周围血管离断术后AGML 15例。给予支持疗法、降低胃酸和保护胃黏膜、减少胃黏膜血流、内镜下局部喷洒止血剂或电凝止血等方法治疗。结果15例贲门周围血管离断术后发生AGML，最短5 d，最长23 d，8～14 d 10例。13例治愈，治愈率达86.67%，2例死亡。结论支持疗法、降低胃酸和保护胃黏膜、内镜下止血等综合疗法是治疗AGML的有效方法。
목적：탐토만기혈흡충병환자분문주위혈관리단술후급성위점막병변（AGML）적치료방법。방법선택1991-2010년호북성잠강시혈흡충병예방공제소수치적만기혈흡충병환자분문주위혈관리단술후AGML 15례。급여지지요법、강저위산화보호위점막、감소위점막혈류、내경하국부분쇄지혈제혹전응지혈등방법치료。결과15례분문주위혈관리단술후발생AGML，최단5 d，최장23 d，8～14 d 10례。13례치유，치유솔체86.67%，2례사망。결론지지요법、강저위산화보호위점막、내경하지혈등종합요법시치료AGML적유효방법。
Objective To discuss the therapy for acute gastric mucosal lesion(AGML)after pericardial devascularization of advanced schistosomiasis. Methods Fifteen advanced schistosomiasis patients with AGML after pericardial devascularization re-ceived supporting therapy,reducing stomach acid and protecting gastric mucosa therapy,reducing gastric blood flow therapy,en-doscopic spraying topical hemostatic agents or electric coagulation therapy,etc. Results After pericardial devascularization of ad-vanced schistosomiasis,15 patients occurred AGML,and among which,10 cases occurred from 8 to 14 days,and the shortest pe-riod was 5 days and the longest was 23 days. Among the 15 patients,13 patients were cured(86.7%),and 2 died. Conclusion The comprehensive therapy including supporting therapy,reducing gastric acid and protecting gastric mucosa,and endoscopic he-mostasis is effective in the treatment of AGML.