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经内窥镜注射硬化剂(EIS)为治疗急性静脉曲张出血的有效方法,在许多病人已用它来防止再次出血。但它容易引起食道浅表溃疡,而形成深部溃疡者不多。几个研究报道其发生率为5.5~29%。溃疡一般会愈合,但可能出血,有三篇报道认为溃疡部位出血率为25~75%,这样就会耽误以后的硬化治疗。本文收集美国得克萨斯州立大学医学院胃肠病科近两年来对34名患者进行了4次EIS治疗的资料。大部分患者为酒精性慢性肝病患者。窥镜为日本Olympus GIF-Q型,
Endoscopic injection of sclerosing agent (EIS) is an effective method of treating acute variceal bleeding and has been used by many patients to prevent rebleeding. But it is easy to cause superficial esophagus ulcer, and the formation of deep ulcers are few. Several studies report the incidence of 5.5 to 29%. Ulcers generally heal, but bleeding may occur. There are three reported bleeding rates of 25 to 75% at the ulcer site, which will delay the subsequent hardening treatment. This article collects data from 34 patients undergoing EIS in the last two years from the Department of Gastroenterology, Texas State University School of Medicine. Most patients with alcoholic chronic liver disease. Endoscope for Japan Olympus GIF-Q type,