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本文报告对各种不同病变引起的上消化道出血患者,经内窥镜喷涂组织粘合剂(MBR 4197)起到控制出血的作用。 MBR 4197(Trifluoro-2-Propy1-2-cyanoacrylate)为一种丙烯酯粘合剂,以氟利昂(Freon)作为赋形剂,用喷雾法涂于病灶,当接触小量水份及组织液时,能聚合成一粘性薄膜,即刻和不正常的组织牢固粘合。采用Olympus TGF-2D内窥镜,本型具有二个孔道。在喷涂粘合剂之前先经一个管道,注入生理盐水将病灶冲洗干净,再用压缩二氧化碳吹干。然后由另一管道,在直视下经塑料管喷涂MBR 4197。本文报道9例上消化道大量出血,均系不能耐受手术治疗的垂危病例,使用此组织粘合剂止血。著者
This article reports on the role of bleeding control in patients with upper gastrointestinal bleeding caused by various pathologies through endoscopic spraying of tissue adhesive (MBR 4197). MBR 4197 (Trifluoro-2-Propy1-2-cyanoacrylate) is an acrylic adhesive coated with Freon as an excipient and applied to lesions by spraying. When exposed to small amounts of water and tissue fluid, Aggregate into a sticky film, immediately and abnormal tissue firmly bonded. With Olympus TGF-2D endoscope, this model has two channels. Before spraying the adhesive through a pipeline, injection of normal saline rinse the lesion, then compressed carbon dioxide dry. The MBR 4197 was then sprayed through the plastic pipe with another pipe under direct vision. This article reports 9 cases of massive upper gastrointestinal bleeding, are unable to tolerate the surgical treatment of dying cases, the use of this tissue adhesive to stop bleeding. Author