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一、食道静脉瘤的硬化疗法血吸虫病肝硬化门脉高压症引起的食道静脉瘤出血紧急手术死亡率极高,现多不主张施行。保守疗法对出血急救处理,如安静、卧床、绝食、吸氧、输血、止血剂等一般方法,改善全身状态;同时,应用脑下垂体后叶素20u+5％葡萄糖溶液200ml 20分静脉点滴,四小时后再反复,但疗效短暂;大量出血病例先用三腔管压迫止血法对急救止血有一时效果,但病人不易接受,而且压迫时间长易发生食道胃底粘膜糜烂,坏死,拔管后再出血率高。这些急救处理约有一半病例可得到一时的止血效果,以安全、操作简便和易于普及可作为最初试用治疗方法。近年来由于内窥镜技术操作的开展,食道静脉瘤内窥镜的硬化疗法(injective scl-erotherapy)逐渐施行。本疗法的文献最初
First, the sclerosis of esophageal varices Schistosomiasis cirrhosis and portal hypertension caused by esophageal aneurysm bleeding emergency surgery mortality is high, many do not advocate the implementation. Conservative treatment of bleeding emergency treatment, such as quiet, bed rest, hunger strike, oxygen, blood transfusion, hemostatic agents and other general methods to improve the general condition; the same time, the application of pituitrin 20u + 5% glucose solution 200ml 20 intravenous drip, Four hours later repeated, but the curative effect is short; a large number of bleeding cases with triple lumen suppression hemostasis first aid hemostatic effect, but the patient is not easy to accept, and the oppression of a long time prone to esophageal mucosal erosion, necrosis, extubation Rebleeding rate. Approximately half of these first-aid treatments receive a temporary hemostatic effect that is safe, easy to administer and easy to use as a first-try treatment. In recent years, due to the operation of endoscopic techniques, esophageal aneurysm endoscopic sclerotherapy (injective scl-erotherapy) gradually implemented. The original literature of the therapy