论文部分内容阅读
目的：总结经胃镜注射自配的肾上腺素、利多卡因和高渗盐水混合液治疗上消化道大出血的效果。方法：按肾上腺素２ｍｇ、利多卡因２００ｍｇ、１５％氯化钠１０ｍｌ的比例配制混合液１６～３２ｍｌ。４４例上消化道大出血患者行急诊胃镜检查，并对病灶处注射此混合液８～２０ｍｌ。结果：溃疡型、肿块型、炎性、吻合口处出血共３７例止血全部有效，７例食管胃底静脉曲张破裂出血仅２例有效（Ｐ＜０．００５）。结论：自配的肾上腺素、利多卡因和高渗盐水混合液适合非静脉曲张破裂出血患者的止血。
Objective: To summarize the effect of intragastric injection of epinephrine, lidocaine and hypertonic saline in the treatment of upper gastrointestinal bleeding. Methods: According to the adrenaline 2mg, lidocaine 200mg, 15% sodium chloride 10ml ratio of the preparation of the mixture 16 ~ 32ml. 44 cases of upper gastrointestinal bleeding patients underwent emergency gastroscopy, and the injection of this mixture of 8 ~ 20ml. Results: Thirty-seven patients with ulcer, mass, inflammation and anastomotic hemorrhage were all effective. Only two patients with esophageal varices bleeding were effective (P <0.005). CONCLUSIONS: The combination of epinephrine, lidocaine and hypertonic saline is suitable for hemostasis in patients with non-variceal bleeding.