CAJ | 학술논문

　　目的回顾分析急诊内镜治疗肝硬化合并食管胃静脉曲张出血疗效。方法478例次肝硬化合并食管胃静脉曲张出血，采取内镜下套扎、硬化和组织粘合剂栓塞治疗466例次。结果413例次止血成功(88.6%)，硬化、套扎、组织粘合剂注射的止血率分别为87.8%、89.8%和90.8%。死亡23例，病死率4.9%。结论针对不同出血情况采取不同的内镜下治疗可达到较好的治疗效果。
　　목적회고분석급진내경치료간경화합병식관위정맥곡장출혈료효。방법478례차간경화합병식관위정맥곡장출혈，채취내경하투찰、경화화조직점합제전새치료466례차。결과413례차지혈성공(88.6%)，경화、투찰、조직점합제주사적지혈솔분별위87.8%、89.8%화90.8%。사망23례，병사솔4.9%。결론침대불동출혈정황채취불동적내경하치료가체도교호적치료효과。
Objective To retrospectively analyze the effect of endoscopic treatment on cirrhosis accompanying acute esophagogastric variceal hemorrhage in emergency patients. Methods Of the 478 patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage, 466 were treated by endoscopic ligation, sclerotherapy and embolism, respectively. Results Among the 466 patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage, bleeding was successfully stopped in 413 by endoscopic ligation, sclerotherapy and embolism, with a success rate of 87.8%, 89.8%and 90.8%, respectively. Twenty-three patients died with a death rate of 4.9%. Conclusion The outcome of patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage is rather good after endoscopic treatment according to their hemorrhage.