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临床上对食管静脉曲张患者通常作硬化治疗,但有一定并发症。作者等应用连接于胃镜末端的带有“O”形橡皮圈的结扎器,对14例肝硬化食管静脉曲张患者作内镜直视下静脉曲张结扎(EVL)治疗,以防治静脉曲张复发性出血。病人和方法 14例中男7,女7例,平均年龄46岁。包括酒精性肝硬化8例,其它肝病引起者6例。其中 Child A 级6例,B 级6例,C 级2例。EVL 前输血0～18(平均2.6)U。3例分别在作 EVL 前2、18及22周应用硬化治疗,其中2例因复发出血、1例因发生全身不良反应而接受 EVL 治疗。EVL 部位限于食管下端10cm 范围内,治疗前后均
Clinically for patients with esophageal varices usually sclerotherapy, but there are some complications. The authors applied endoscopic ligation of a varicose vein with a “O” rubber band attached to the end of the gastroscope to treat variceal varices (EVL) in 14 cirrhotic patients with esophageal varices in order to prevent recurrent variceal bleeding . 14 cases of patients and 7 males and 7 females, mean age 46 years old. Including alcoholic cirrhosis in 8 cases, caused by other liver diseases in 6 cases. Including Child A grade in 6 cases, B grade in 6 cases, C grade in 2 cases. Blood transfusion before EVL 0 ~ 18 (average 2.6) U. Three patients were treated with sclerotherapy 2, 18 and 22 weeks before EVL, respectively, of whom 2 had recurrent hemorrhage and 1 had EVL due to systemic adverse events. EVL site limited to the bottom of the esophagus 10cm range, before and after treatment were