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各研究中心经内镜注射肾上腺素治疗出血性消化性溃疡已获得成功。为了证实能否推广使用,本文选地区综合医院病例进行这种疗法的前瞻性随机对照试验。病人和方法 1989年4月～1991年6月间555例上消化道出血病例在入院24小时内行紧急内镜检查。其中内镜下有裸露血管的病者93例进入本研究,并随机分成两组:①注射治疗组:48例,用1:10000肾上腺素环绕溃疡周围注射4～6个点,每点1～2ml,另将1～2ml注入血管内,最后用5%油酸氨乙酯1～2ml 注入血管,平均每侧用肾上腺素8(5～17.5)ml,油酸氨乙酯0.8(0～2)ml;②对照组45例,接
The research center by endoscopic injection of epinephrine for the treatment of hemorrhagic peptic ulcer has been successful. In order to confirm the promotion of the use of this article selected district general hospital cases of prospective randomized controlled trials of this therapy. Patients and Methods From April 1989 to June 1991, 555 patients with upper gastrointestinal bleeding underwent emergency endoscopy within 24 hours of admission. Among them, 93 cases with exposed blood vessels under endoscopy entered the study and were randomly divided into two groups: ① injection treatment group: 48 cases, 1: 10000 epinephrine around the injection of 4 to 6 points around the ulcer, each point of 1 ~ 2ml, the other 1 ~ 2ml into the blood vessels, and finally with 5% ammonia ethyl oleate 1 ~ 2ml into the blood vessels, each side with adrenaline 8 (5 ~ 17.5) ml, ethyl oleate 0.8 (0 ~ 2 ) ml; ② control group of 45 cases, then