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作者对301例门脉高压症患者使用3％水酚作内镜下食管静脉曲张硬化治疗。资料和方法:301例门脉高压伴食管静脉曲张破裂出血患者,男228例,女73俐,年龄范围1～75岁(平均27±17岁)。229例行择期硬化治疗,72例首次活跃出血行急诊硬化治疗。其中肝硬化189例(A级48例,B级66例,C级75例),肝外门静脉阻塞(EHPVO)90例,非肝硬化性门静脉纤维化(NCPF)22例。使用国产的双聚乙烯管,内管置有23号针,前端针尖突出5mm,内镜直视下采用静脉内注射法,先注射胃食管连接处上方,以后依次向上间隔5～7cm注射,每点注射3％水酚2～3ml,每次总量18～36ml。前3次间隔3天至1周,以后每月1次直到曲张静脉消失。然后每3个月随访1次。结果:急诊硬化疗法控制活动性出血有效率87％,
The authors of 301 patients with portal hypertension with 3% phenol for endoscopic esophageal varicose vein sclerosis treatment. Materials and Methods: A total of 228 men and 73 women with portal hypertension and esophageal variceal bleeding were aged from 1 to 75 years with an average age of 27 ± 17 years. 229 cases of elective sclerosis treatment, 72 cases of first active hemorrhage underwent emergency sclerotherapy. There were 189 cases of cirrhosis (48 in grade A, 66 in grade B, 75 in grade C), 90 in extrahepatic portal vein occlusion (EHPVO) and 22 in non-cirrhotic portal vein fibrosis (NCPF). The use of domestic double polyethylene tube, the inner tube is equipped with 23 gauge needle, the front tip prominent 5mm, endoscopic direct use of intravenous injection method, the first injection of gastroesophageal junction above, followed by upward intervals of 5 ~ 7cm injection, each Point injection of 3% water phenol 2 ~ 3ml, each total amount of 18 ~ 36ml. The first 3 times an interval of 3 days to 1 week, once a month until the varicose veins disappear. Follow up every 3 months 1 time. Results: The effective rate of emergency sclerotherapy to control active bleeding was 87%