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本文介绍埃及亚历山大大学医院用硬化剂注射疗法治疗血吸虫性肝纤维化食管静脉曲张出血的经验。全组共有病人60例,分A、B、C三组,每组20例。A组为急性食管静脉曲张出血住院的病人。B组为有食管静脉曲张出血史,但因严重贫血、黄疸、营养不良手术危险性大的病人,还有2例腹水病人。C组为术后复发出血的病人,其中有脾切除术后16例;Hassab减压术后3例;端侧门腔静脉分流术后1例。先用Olympus GIF-D3型广视野内窥镜确定静脉曲张的程度和范围及胃十二指肠的情况。
This article describes the experience of sclerotherapy liver cirrhosis esophageal varices bleeding with sclerotherapy in the University of Alexandria in Egypt. A total of 60 patients in the whole group, divided into A, B, C three groups, 20 cases in each group. Group A was hospitalized with acute esophageal variceal bleeding. Group B had a history of esophageal variceal bleeding, but there were 2 patients with ascites due to severe anemia, jaundice, and patients at high risk of malnourished surgery. Group C was postoperative bleeding patients, including 16 cases after splenectomy; Hassab after decompression in 3 cases; end-side portal venous shunt in 1 case. The Olympus GIF-D3 wide-field endoscope was used to determine the extent and extent of varicose veins and the situation of the gastroduodenal.