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本文综合摘译二文,其内容为对纤维内窥镜直视下上消化道急性出血两种新的止血方法的临床评价。方法一:内窥镜直视下纤维蛋白酶局部散布止血法。共计73例各种原因的上消化道出血,采用每瓶5000U pH值4.0以上的纤维蛋白酶8万U溶于30ml生理盐水中,在纤维内窥镜下局部散布。以后,每隔8小时纤维蛋白酶1.5万U溶于50ml生理盐水中,经口或鼻胃管给药,一般用3～4日,观察7日。根据患者具体情况,可合并或不合并应用甲氰咪胍(静脉滴注200mg/次,每日4次)。效果判断:24小时以内止血,72小时完全止血,
This article is a comprehensive translation of the second text, which is the clinical evaluation of two new methods of hemostasis of acute upper gastrointestinal bleeding under fiberoptic endoscopy. Method one: endoscopic direct fibrinase local distribution of hemostasis. A total of 73 cases of upper gastrointestinal bleeding for various reasons, the use of 5000U per bottle of pH 4.0 more than 80,000 U of fibrinolytic dissolved in 30ml saline, the local distribution under fiber endoscopy. Later, every 8 hours fibrinase 15000 U dissolved in 50ml saline, oral or nasogastric administration, usually with 3 to 4 days, observed on the 7th. Depending on the patient’s condition, cimetidine (200 mg IV, 4 times a day) may or may not be used in combination. To determine the effect: within 24 hours to stop bleeding, 72 hours completely stop bleeding,