中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
29期
119-121
,共3页
食管和胃静脉曲张%出血%内镜检查%硬化治疗
食管和胃靜脈麯張%齣血%內鏡檢查%硬化治療
식관화위정맥곡장%출혈%내경검사%경화치료
Esophageal and gastric varices%Bleeding%Endoscopy%Sclerdtherapy
目的：探讨内镜下应用硬化剂治疗食管胃底静脉曲张破裂出血的临床效果及安全性。方法回顾性总结167例肝硬化致食管胃底静脉曲张患者的临床资料，包括内镜下硬化剂治疗联合药物治疗108例，单纯药物治疗59例，统计两组治疗的有效率、死亡率、再出血率进行对比分析。结果硬化剂治疗组中91例出血终止，17例患者死亡。结论在控制食管胃静脉曲张破裂急性出血中，内镜下硬化剂治疗就较单纯内科保守治疗效果佳，存活率高。
目的：探討內鏡下應用硬化劑治療食管胃底靜脈麯張破裂齣血的臨床效果及安全性。方法迴顧性總結167例肝硬化緻食管胃底靜脈麯張患者的臨床資料，包括內鏡下硬化劑治療聯閤藥物治療108例，單純藥物治療59例，統計兩組治療的有效率、死亡率、再齣血率進行對比分析。結果硬化劑治療組中91例齣血終止，17例患者死亡。結論在控製食管胃靜脈麯張破裂急性齣血中，內鏡下硬化劑治療就較單純內科保守治療效果佳，存活率高。
목적：탐토내경하응용경화제치료식관위저정맥곡장파렬출혈적림상효과급안전성。방법회고성총결167례간경화치식관위저정맥곡장환자적림상자료，포괄내경하경화제치료연합약물치료108례，단순약물치료59례，통계량조치료적유효솔、사망솔、재출혈솔진행대비분석。결과경화제치료조중91례출혈종지，17례환자사망。결론재공제식관위정맥곡장파렬급성출혈중，내경하경화제치료취교단순내과보수치료효과가，존활솔고。
Objective To explore the clinical efficacy and safety of endoscopic application of the treatment of esophageal gastric varices bleeding.Methods Retrospectively analyzed 167 cases of esophageal varices clinical data,included 108 cases treated with endoscopic therapy combined with drug therapy, 59 cases treated with drugs alone,and the two groups were treated with efficiency ,mortality,and then bleeding rate.Results In the treatment group, 91 patients died of bleeding and seventeen patients died.Conclusion In the control of esophageal gastric varices bleeding,endoscopic sclerosis agent for the treament of acute hemorrhage,better than the conservative treatment in the department of internal medicine,the survival rate is high.
