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目的：探究内镜下应用凝血酶栓塞硬化急诊治疗食管静脉破裂出血的效果。方法：应用凝血酶加５％鱼肝油酸钠栓塞硬化急诊治疗食管静脉出血１９例。结果：全部病例均在一次性凝血酶栓塞后成功止血（１００％）。与５％鱼肝油酸钠硬化治疗相比，对急诊出血凝血酶具有优越性。治疗过程中，未见过敏性休克和ＤＩＣ等严重并发症。结论：凝血酶作为栓塞硬化剂治疗食管静脉曲张出血是一种安全、简便、疗效好的方法。
Objective: To explore the effect of endoscopic thrombus embolization in emergency treatment of esophageal variceal bleeding. Methods: Nineteen cases of esophageal and venous hemorrhage were treated with thrombin and 5% sodium codlate erucate. RESULTS: All cases were successfully hemostatic (100%) after a single thrombin embolization. Compared with 5% sodium cod liver cirrhosis treatment, the superiority of emergency bleeding thrombin. During the course of treatment, no serious complications such as anaphylactic shock and DIC were observed. Conclusion: Thrombin as an embolization sclerotherapy for esophageal variceal bleeding is a safe, simple and effective method.