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应用内镜套扎术对肝硬化食道静脉曲张(EV)及破裂出血患者进行治疗,观察套扎疗效对患者肝功能的影响。一、临床资料应用内镜套扎装置及 Olympus GIF xQ_(10).选择肝硬化患者39例,男31例,女8例,均为食道静脉重度曲张(Ⅲ°),28例术前有上消化道出血史,余为预防性治疗.治疗前后观察 EV 范围、程度的变化及肝功能.套扎后 EV 为0～Ⅰ°者19例,套扎次数平均3.2次,圈数平均15.2个,而套扎后Ⅱ～Ⅲ°者20例,分别为2.2次和12个,需继续治疗。治疗期间有6例发生出血,其中4例因进食不当,1例情绪激动,1例硬皮病食道广泛粘膜糜烂出血,均在术后7～10天发生,出血量少.11例治疗结束后6～30个月胃镜复查,EV 无加重。12例死亡,肝性脑病5例,腹腔感染3例,中毒性休克1例,肝癌2例,上消化道大出血1例.套
Endoscopic ligation was used to treat patients with cirrhosis esophageal varices (EV) and ruptured hemorrhage. The effects of ligation on hepatic function were observed. First, the clinical data of endoscopic ligation device and Olympus GIF xQ_ (10) selected 39 patients with cirrhosis, 31 males and 8 females, were esophageal varices (Ⅲ °), 28 cases of preoperative Gastrointestinal bleeding history, more than preventive treatment.VEGF range, degree of change and liver function were observed before and after treatment.After ligation EV in 0 ~ Ⅰ ° 19 cases, an average of 3.2 times the number of ligation, an average of 15.2 laps, And ligation Ⅱ ~ Ⅲ ° after 20 cases, respectively, 2.2 times and 12, need to continue treatment. Bleeding occurred in 6 patients during the treatment period, of which 4 cases due to improper eating, 1 case of agitation, 1 case of scleroderma extensive mucosal erosion hemorrhage, occurred in 7 to 10 days after surgery, less bleeding .11 cases after treatment 6 to 30 months endoscopy, EV no increase. 12 cases died, 5 cases of hepatic encephalopathy, 3 cases of abdominal infection, 1 case of toxic shock, liver cancer in 2 cases, 1 case of upper gastrointestinal bleeding.