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本文比较心得安和硬化剂疗法预防复发性食管静脉曲张出血的疗效。78例16～65岁肝硬化伴门静脉高压的病人,由急诊胃镜证实出血原因是食管静脉曲张破裂后,先用保守疗法止血(静脉内滴注glypressin,必要时三腔管压迫止血),出血停止,血液动力学稳定至少48小时后,再被随机分配到心得安组或硬化剂治疗组。在硬化剂治疗组,一般使用纤维内镜将硬化剂(1%polidocanol)注射到曲张的食管静脉旁,每周二次,直到曲张静脉消失或被厚纤维层完全覆盖。部分患者有较大的贲门内静脉曲张,用纤维内镜治疗不满意,即在
This article is more experience and sclerotherapy to prevent recurrent esophageal variceal bleeding effect. Seventy-eight patients with cirrhosis and portal hypertension between the ages of 16 and 65 years were confirmed by emergency gastroscopy after esophageal varices were ruptured, and conservative treatment was used to stop the bleeding (intravenous infusion of glypressin and triple lumen compression to stop bleeding when necessary) , Hemodynamically stable for at least 48 hours, and then randomized to propranolol or sclerotherapy group. In the sclerotherapy group, sclerosing agents (1% polidocanol) are typically injected into the varicose veins by fibro-endoscopy twice a week until the varicose veins disappear or are completely covered by the thick fiber layer. Some patients have larger cardia varicose veins, endoscopic treatment with fiber is not satisfied, that is, at