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目的本文重点评价GLUBRAN-2在治疗胃底静脉曲张出血中的疗效。方法 12例确诊为胃底静脉曲张出血的患者在出血发生24 h内接受胃镜下注射GLUBRAN-2,观察包括即时止血率、早期再出血率、治疗相关并发症,与再出血和死亡相关的肝功能Child分级、曲张静脉形态、预后、肝硬化病因等指标。结果 12例活动性出血的患者均达到即时止血,无再出血,未发生栓塞并发症,3例发生低热,1例死于出血后肝功能衰竭。结论急诊胃镜下注射GLUBRAN-2治疗胃底静脉曲张破裂出血疗效显著,并发症发生率低。
Objective This article focuses on the evaluation of GLUBRAN-2 in the treatment of gastric variceal bleeding. Methods Twelve patients diagnosed with variceal bleeding underwent intragastric injection of GLUBRAN-2 within 24 hours of onset of bleeding. The effects of instantaneous hemostasis, early rebleeding, treatment-related complications, and liver associated with rebleeding and death were observed Function Child grading, varicose vein morphology, prognosis, causes of liver cirrhosis and other indicators. Results All the 12 patients with active hemorrhage had immediate hemostasis, no rebleeding, no embolic complications, 3 cases of fever and 1 case of liver failure after hemorrhage. Conclusions Emergency endoscopy GLUBRAN-2 treatment of gastric variceal bleeding has a significant effect, the incidence of complications is low.