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食管静脉曲张(esophageal varices,EV)破裂急性出血是非常危急的情况,多数人倾向于先用各种非手术方法暂时止血以渡过紧急情况,再择期作分流手术或断流手术。传统的暂时止血方法包括气囊管压迫及垂体后叶素静脉滴注等,目前多数美国医生仍主张使用。近年来英国、德国和南非等应用硬化剂注射疗法作为暂时止血的手段,获得较好的效果。经食管内窥镜注射硬化剂治疗EV急性出血,又称“硬化疗法”(sclerotherapy)。远在1939年瑞典的Crafoord等已报告了117例用此法的经验,但其后不久由于门体分流术在临床上获得成功,被认为是治疗门静脉高压最好的手术,因而硬化疗法未受到普遍重视。近几年因长期实
Acute esophageal varices (EV) rupture Acute bleeding is a very critical condition and most people tend to stop bleeding temporarily with a variety of non-surgical methods to survive an emergency and then elective surgery for shunting or disconnecting. Traditional temporary hemostasis methods include balloon tube compression and vasopressin intravenous infusion, etc. At present, most U.S. doctors still advocate the use of. In recent years, the United Kingdom, Germany and South Africa and other application sclerotherapy injection as a temporary means of stopping bleeding, get better results. Esophageal endoscopic injection of sclerotherapy for acute bleeding in EVs, also known as “sclerotherapy”. Crafoord et al in Sweden in 1939 have reported 117 cases of this method of experience, but soon after the portosystemic shunt succeeded clinically, is considered the best treatment for portal hypertension, so the sclerotherapy has not been Generally valued. In recent years because of long-term reality