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目的食道静脉破裂出血,采用紧急手术治疗的效果极差。为此,日本兵库县医科大学第一外科,直接把thrombin(凝血酶)注入曲张静脉,作为紧急止血方法,取得了较好的疗效,但是,在注入thrombin 之后不久,有发生休克的病例。为此以血小板纤溶系为主题进行了研究。对象及方法是在兵库县医科大学第一外科进行食道静脉曲张硬化疗法的36例肝硬化病人。食道静脉曲张硬化疗法(EE):采用Olympus EFtypeB_3,依靠ND—ID 穿刺针,把50%葡萄糖5ml,牛thrombin2500单位(5ml),1%aethoxysklerol2ml,从3~4个部位注入曲张静脉。每个病例使用的
The purpose of esophageal variceal bleeding, the effect of emergency surgery was poor. To this end, the first surgery at Hyogo Medical University in Japan directly injected thrombin (thrombin) into the varicose veins and achieved a good curative effect as an emergency hemostatic method. However, shortly after the injection of thrombin, there was a case of shock. To this end platelet fibrinolysis was the theme of research. Subjects and Methods Thirty-six patients with cirrhosis who underwent esophageal varicosis sclerosis therapy were the first surgery in Hyogo Medical University. Esophageal varicosis sclerosis (EE): 5 to 50% glucose, bovine thrombin 2500 units (5 ml), and 1% aethoxysklerol 2 ml were injected into the varicose veins from 3 to 4 sites using the Olympus EF type B_3 and ND-ID puncture needle. Used in each case