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迄今,生长抑素(Somatostatin)治疗食管静脉曲张出血效果已得到公认~[1],然而其对门脉高压症患者血液动力学的影响,文献报道极少~[2]。本研究旨在通过脉冲多普勒观察生长抑素对门脉高压症所致食管静脉曲张出血止血前后的门脉系统血液动力学的影响。1 对象与方法 本文32例食管静脉曲张出血病人均为1996年1月～1997年1月住院患者。其中28例为肝炎后肝硬化,4例为肝硬化并发肝癌。男性21例,女性11例,年龄24～66岁,平均41.5岁。所有病人在治疗前均经胃镜证实有活动性食管静脉曲张出血。
To date, the effect of Somatostatin in the treatment of esophageal variceal bleeding has been well recognized [1]. However, its effect on hemodynamics in patients with portal hypertension is rarely reported [2]. This study aimed to observe the effect of somatostatin on portal system hemodynamics before and after hemostasis of esophageal varices due to portal hypertension by pulsed Doppler. 1 objects and methods 32 cases of esophageal variceal bleeding in patients were January 1996 ~ January 1997 inpatients. Among them, 28 cases were liver cirrhosis and 4 cases were liver cirrhosis with liver cancer. There were 21 males and 11 females, aged from 24 to 66 years with an average of 41.5 years old. All patients had active esophageal variceal bleeding confirmed by gastroscopy before treatment.