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目的：观察奥美拉唑和加压素合用对食管、胃底静脉曲张破裂大出血的疗效。方法：门脉高压导致的食管、胃底静脉曲张破裂大出血病人１７例，男性１４例，女性３例，年龄４９±ｓ１２ａ，未使用传统的三腔管压迫止血，采用连续静脉点滴加压素６０ＩＵ／ｄ和口服奥美拉唑２０ｍｇ，２次／ｄ治疗。结果：显效９例，有效６例，无效２例，总有效率８８％。有效病例出血控制后，均未再出血。结论：奥美拉唑和加压素联合治疗门脉高压引起的食管和胃底静脉曲张破裂出血既发挥了加压素止血速度快的优点，又发挥了奥美拉唑止血持久的长处，是治疗本病积极而有效的治疗措施。
Objective: To observe the effect of omeprazole and vasopressin combined with esophageal and gastric variceal bleeding. Methods: 17 cases of esophageal and gastric varices bleeding caused by portal hypertension were included in this study. There were 14 males and 3 females, aged 49 ± s12a. The traditional triple-lumen tube was used for hemostasis. Continuous intravenous infusion of vasopressin 60IU / D and oral omeprazole 20mg, 2 times / d treatment. Results: 9 cases markedly effective in 6 cases, 2 cases, the total effective rate of 88%. After the effective case bleeding control, no further bleeding. Conclusion: The combination of omeprazole and vasopressin in the treatment of esophageal and gastric varices bleeding caused by portal hypertension not only exerts the advantages of vasopressin to stop bleeding faster, but also play a lasting advantage of omeprazole to stop bleeding The treatment of this disease is a positive and effective treatment.