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近年用硬化剂经纤维内镜局部注射治疗门脉高压症的食管静脉破裂出血,获得非手术治疗中最为优良效果。目前不仅对肝功能差、不适手术者可以使用,为了创建手术条件也常常依赖硬化疗法。作者曾对11例食管静脉曲张出血患者用一般方法以中药“消痔灵”、5%鱼肝油酸钠经粘膜下或静脉内注射治疗。观察到重度静脉曲张患者有时注射后出血较多,甚至需气囊压迫。因此作者参照铃木在静脉曲张两侧作粘膜下注射压迫血管,使之血流减少,再在中心部位作静脉内注射以防止出血的方法加以改进,术前静脉注射心得安降低门脉压,以中药“消痔灵”作静脉旁粘膜下注射和鱼肝油酸钠静脉内注射的方法,不仅静脉曲张获得改善,且基本无注射后出血,也无严重胸痛发生。
In recent years with sclerotherapy by endoscopic endoscopic treatment of portal hypertension with esophageal variceal bleeding, obtained the most excellent results in non-surgical treatment. Currently not only for poor liver function, discomfort surgery can be used, in order to create surgical conditions are often dependent on sclerotherapy. The authors had 11 cases of esophageal variceal bleeding in patients with traditional Chinese medicine “Xiaozhiling”, 5% sodium morrhuate submucosal or intravenous injection. Severe varicose veins observed in patients with bleeding sometimes after injection more, or even balloon compression. Therefore, the author refers to Suzuki in the varicose vein on both sides of the submucosal oppression of blood vessels, reducing blood flow, and then in the central part of the intravenous injection to prevent bleeding to improve the preoperative intravenous propranolol lower portal pressure to Traditional Chinese medicine “Xiaozheng Ling” as a method of intravenous para-submucosal injection and intravenous injection of cod liver oil not only improved varicose veins, and basically no bleeding after injection, nor severe chest pain.