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我院自1997年1月～1998年12月应用奥曲肽、奥美拉唑、凝血酶治疗肝硬化门脉高压出血13例,取得了显著疗效,现报告如下: 1 临床资料 1.1 一般资料:男性10例,女性3例,年龄39～62岁,平均45岁。其中肝炎后肝硬化10例,酒精性肝硬化2例,肝硬化肝癌1例。出血量在500～2000ml之间,属食道胃底静脉曲张破裂出血11例,门脉高压性胃病出血2例,全部病例均经B超、胃镜、肝功证实。 1.2 治疗方法:奥曲肽(商品名善得定)首次0.1mg静注作为冲击剂量,然后0.1mg善得定+5％葡萄糖250ml按16.6～25ug/h的速度持续静点,出血控制后改为0.1mg皮
Our hospital from January 1997 to December 1998 application of octreotide, omeprazole, thrombin in the treatment of cirrhosis and portal hypertension in 13 cases, and achieved significant results are as follows: 1 Clinical data 1.1 General information: Male 10 Cases, 3 females, aged 39 to 62 years, mean 45 years. Including hepatitis cirrhosis in 10 cases, alcoholic cirrhosis in 2 cases, liver cirrhosis in 1 case. Bleeding volume between 500 ~ 2000ml, is a gastroesophageal varices bleeding in 11 cases, portal hypertensive gastropathy in 2 cases, all cases were confirmed by B-mode, endoscopy, liver function confirmed. 1.2 treatment: octreotide (trade name set) the first 0.1mg intravenous injection as the impact dose, then 0.1mg good set + 5% glucose 250ml at 16.6 ~ 25ug / h speed continued static point, bleeding control to 0.1 mg skin