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食管静脉曲张破裂出血(EVB)是肝硬化的严重并发症,病死率占消化道出血的第一位。内镜下连续套扎治疗EVB是近几年刚在国际上应用的新方法。我院自1996年以来,应用Speedband五环连续套扎器为5例EVB患者做了治疗,初步显示其优点及不足,现报告如下。临床资料一、病例选择5例中,男3例,女2例。年龄42~64岁,平均54岁。均为肝硬化伴EVB,肝功能Child分级:A级2例,B级2例,C级1例。食管重度静脉曲张3例,中度曲张2例,无胃底静脉曲张。近期出血患者在控制活动性出血后进行套扎。
Esophageal variceal bleeding (EVB) is a serious complication of cirrhosis, the highest mortality rate of gastrointestinal bleeding. Continuous endoscopic ligation treatment of EVB is just a new method of international application in recent years. Our hospital since 1996, the application of Speedband five ring continuous ligation for the treatment of 5 patients with EVB, initially showed its advantages and disadvantages, are as follows. Clinical data A case selection 5 cases, 3 males and 2 females. Age 42 to 64 years old, average 54 years old. All were cirrhosis with EVB, liver function Child classification: A grade in 2 cases, B grade in 2 cases, C grade in 1 case. 3 cases of esophageal varicose veins, 2 cases of moderate varicose veins, no gastric varices. Recent bleeding in patients with active bleeding control ligation.