论文部分内容阅读
目的确定胃镜下结扎术对治疗及预防患者发生食管静脉曲张破裂活动性出血的效果,保障患者的健康及生命安全。方法对患者进行胃镜下结扎治疗食管静脉曲张破裂活动性出血手术,并在术前做好充分的手术准备工作,术后对患者进行抑酸、降低门静脉压以及护肝等常规护理,并严密观察患者的各项生命体征。结果经胃镜下结扎术治疗后通过内镜检测可见出血停止,且视野清晰,结扎处无活动性出血,患者各项生命体征趋于稳定。结论急诊胃镜下结扎治疗食管静脉曲张破裂活动性出血方法操作简单,并发症较少,近期治疗安全有效并能够有效降低再出血率。由于食管静脉曲张破裂活动性出血的死亡率较高,如何把握时机对患者进行及时有效的控制出血是防止患者病情继续恶化、降低患者死亡率的关键。
Objective To determine the effect of endoscopic ligation on the treatment and prevention of active esophageal variceal bleeding in patients with esophageal variceal bleeding to ensure the patient’s health and safety of life. Methods Patients underwent gastroscopic ligation for active esophageal variceal bleeding surgery and adequate preoperative surgical preparation, postoperative patients with acid suppression, portal pressure and liver protection and other routine care, and close observation The patient’s vital signs. Results After endoscopic surgery under gastroscope, hemorrhage stopped and the visual field was clear. There was no active bleeding at the ligation site. All vital signs of the patients tended to be stable. Conclusion Emergency endoscopic ligation of active esophageal variceal bleeding method is simple, less complications, the recent treatment is safe and effective and can effectively reduce the rate of rebleeding. Due to the high mortality rate of active bleeding due to ruptured esophageal varices, it is the key to prevent patients from deteriorating and reducing the patient’s mortality rate timely and effective in controlling the bleeding.