论文部分内容阅读
门脉高压症常并发食管、胃底静脉曲张破裂出血,危及生命,其死亡率高达50%。近年来,尽管采用外科手术、填塞、热凝等疗法,其死亡率仍然很高。本文报告16例,用心得安防治门脉高压症致消化道再出血,收到较好效果。16例均为肝硬化门脉高压症病人。入院时经钡餐透视证明有明显食管、胃底静脉曲张,曲张静脉>5 mm 者有9例;因大量呕血、便血未能钡透者7例,由于反复呕血、便血,失血量在1,500～2,500之间。采用三腔二囊管压迫,待出血停止后,加服心得安。开始剂量为40mg/日,分2次口服,逐渐加量,其剂量使心率降低约20%左右,以此剂量维持。本组平均为60～120mg/日。
Portal hypertension often complicated by esophageal variceal bleeding, life-threatening, the mortality rate as high as 50%. In recent years, despite the use of surgery, stuffing, thermal coagulation and other therapies, the mortality rate is still high. This article reports 16 cases, prophylaxis and prevention of portal hypertension caused digestive tract rebleeding, received good results. 16 cases were cirrhotic patients with portal hypertension. On admission, barium meal proved to have significant esophageal and gastric fundus varicose veins, varicose veins> 5 mm in 9 cases; due to massive hematemesis, barium stool failed in 7 cases, due to repeated vomiting, blood in the stool, blood loss in 1,500 ~ 2,500 between. The use of three-chamber two cyst tube oppression, to be stopped bleeding, plus service peace of mind. The initial dose of 40mg / day, 2 times orally, gradually increase the dose to reduce the heart rate of about 20% at this dose to maintain. This group average 60 ~ 120mg / day.