论文部分内容阅读
食道静脉硬化疗法已广泛用于控制和预防急性食道曲张静脉破裂出血。洽疗效果主要取决于硬化剂能否准确注入曲张的静脉血管。由于急性大出血,伴有呼吸急促,使准确的注药相当困难。作者采用一种新的透明塑料管使治疗更为迅速、安全。这种透明塑料管外径20mm、内径16mm,距管端3cm处开0.7×4cm的槽孔。插镜前将此管套入纤维窥镜镜身,待镜头进入胃腔后再将此管轻轻推向食道下端。曲张的静脉可经管槽突入到透明管腔内,因获得良好的固定,使推注硬化剂便于进行。转动该透明管可压迫出血,并可通过透明管壁观察注射部位是否出血以及周边曲张静脉的情况。作者使用这种方法为348例患者作了食道曲张静脉硬化治疗。无肺部并发症及食道损伤出现。作者认为应用透明塑料管便于操
Esophageal vein sclerotherapy has been widely used to control and prevent acute esophageal variceal bleeding. Symptomatic treatment depends mainly on the hardener can accurately inject varicose veins. Due to acute bleeding, accompanied by shortness of breath, making accurate injection is quite difficult. The authors adopted a new transparent plastic tube to make treatment more rapid and safe. This transparent plastic tube diameter 20mm, diameter 16mm, away from the end of the tube 3cm open 0.7 × 4cm slot. Insert the tube into the fiberoscope mirror before inserting the lens, and gently push the tube toward the lower end of the esophagus until the lens enters the gastric cavity. Quilts of veins can be penetrated into the lumen of the lumen through the tube groove, due to good fixation, so push the hardener easy to carry out. Turn the transparent tube can be opaque bleeding, and through the transparent tube wall observation of injection site bleeding and peripheral varicose veins. The authors used this method to treat esophageal varicose vein in 348 patients. No pulmonary complications and esophageal injury appear. The author believes that the application of transparent plastic tube easy to operate