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食管静脉曲张破裂出血,是肝细胞癌、肝功不全和肝硬变患者的死亡原因之一,治疗本病对预后有重要意义。手术疗法对本病有效,但对肝储备力较差的Child C级患者疗法并不理想。内镜下食管静脉曲张硬化疗法,对首次和二次出血的治疗有价值。但复发率高,且需多次内镜观察和治疗。 1981年Lebrec等用心得安预防肝硬变患者并发的食管静脉曲张破裂出血,远期效果良好。他们将静注加压素和森-布(Sengs-
Esophageal variceal bleeding is one of the causes of death in patients with hepatocellular carcinoma, liver failure and cirrhosis. The treatment of this disease is of great significance to the prognosis. Surgical therapy is effective in this condition, but treatment in Child C class patients with poor liver reserve is not ideal. Endoscopic esophageal varicosis sclerotherapy, the first and second bleeding treatment valuable. But the recurrence rate is high, and the need for multiple endoscopic observation and treatment. In 1981, Lebrec and other propranolol in the prevention of cirrhosis complicated by esophageal variceal bleeding, the long-term good results. They will intravenous vasopressin and Seng - cloth (Sengs-