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目的:探讨垂体后叶素与消心痛合用治疗食道静脉曲张破裂大出血的临床效果。方法:在对患者补充血容量预防肝性昏迷及其它并发症治疗的基础上,给予垂体后叶素0.2～0.4U/min与消心痛0.02～0.04mg/min同时进行静脉滴注(持续24～72小时)。不用其它止血药物。病情稳定后改用服药方法(口服消心痛10mg,一天3次),并停用垂体后叶素。结果:止血显效率为51.6％,有效率为25.8％,总有效率为77.4％。结论:合用垂体后叶素和消心痛静脉滴注治疗食道静脉曲线破裂大出血见效快,副反应少,是较好的方法之一。
Objective: To investigate the clinical effect of combination of vasopressin and antihypertensive treatment for esophageal variceal bleeding. Methods: On the basis of supplementing blood volume to prevent hepatic coma and other complications, pituitrin 0.2 ~ 0.4U / min and xiaoXiaoXiao 0.02 ~ 0.04mg / min were administered intravenously simultaneously for 24 ~ 72 hours). No other hemostatic drugs. Seriously after the switch to medication (oral anti-heartache 10mg, 3 times a day), and disable the pituitrin. Results: The effective rate of hemostasis was 51.6%, the effective rate was 25.8% and the total effective rate was 77.4%. Conclusion: The combination of vasopressin and vasopressin intravenous drip in the treatment of esophageal variceal bleeding is quick, less side effects, is one of the better methods.