论文部分内容阅读
近6年来我们用胃镜FGI-SD_(50)(φ9.8mm)对74例肝硬化上消化道出血患者在外院或本院曾用过三腔管者进行胃镜检查,发现48例有不同程度的静脉曲张,26例根本没有静脉曲张,占35%。推测其出血可能来自胃肠粘膜糜烂或溃疡。这26例肯定是误插了“三腔管”。典型病例:男性,22岁,肝病史4年,蜘蛛痣,脾大,白/球倒置,B超示肝硬化。1个月内先后2次呕血、黑粪,在外院用三腔管压迫数天“止血”,拔管半个月后在本院胃
In the past 6 years, we use gastroscope FGI-SD_ (50) (φ9.8mm) 74 patients with cirrhosis of upper gastrointestinal bleeding in the hospital or hospital had three-tube tube gastroscopy and found that 48 patients with varying degrees of In varicose veins, 26 patients had no varicose veins at all, accounting for 35%. Speculated that the bleeding may come from gastrointestinal mucosa erosion or ulcer. This 26 cases is definitely wrong insertion of the “three-chamber tube.” Typical cases: Male, 22 years old, history of liver disease 4 years, spider nevus, splenomegaly, white / ball upside down, B ultrasound shows cirrhosis. 1 month has 2 times hematemesis, black manure, three-lumen tube outside the hospital for a few days to suppress the “bleeding”, extubation half a month later in our hospital stomach