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本文报道我院1979～1985年42例、78次持续静滴脑垂体后叶素(Vp.)治疗食管静脉曲张破裂出血结果(剂量0.3u/分,逐渐递减,维持3～5天停药),有效止血率为58.97％(46/78),较之国内外文献报道要低。现就影响疗效因素作一探讨。 (1)年龄大小。本文39岁以下有效止血率为72.73％,40～59岁为67.65％,60岁以上仅45.45％。说明后一组与前二组有差异(P <0.05)。 (2)疾病差别。本文单纯肝硬化有效止血率为69.81％,伴门静脉/肝静脉栓塞为50.0％,而伴肝癌为33.33％。说明前一组与后二组有差异(P<0.05、<0.01)。 (3)出血次数。本文首次出血有效止血率为87.50％,2、3次出血为48.39％,4次以上为43.48％。说明前一组与后二组有差异
This article reports from 1979 to 1985 in our hospital 42 cases, 78 consecutive intravenous infusion of vasopressin (Vp.) Treatment of esophageal variceal bleeding (dose 0.3u / min, gradually decreased to maintain 3 to 5 days withdrawal) , The effective rate of hemostasis was 58.97% (46/78), which was lower than that reported in the literature at home and abroad. Now on the impact of factors to make a discussion. (1) Age size. This article under the age of 39 effective hemostasis rate of 72.73%, 40 to 59 years old was 67.65%, over the age of 45 only 45.45%. The latter group is different from the first two groups (P <0.05). (2) disease differences. In this paper, the effective rate of hepatic cirrhosis was 69.81%, with portal vein / hepatic vein thrombosis was 50.0%, while with liver cancer was 33.33%. Description of the former group and the latter two groups have differences (P <0.05, <0.01). (3) the number of bleeding. The effective hemostasis rate of the first hemorrhage was 87.50%, the second hemorrhage was 48.39% and the third was 43.48%. Explain the difference between the former group and the latter two groups