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作者对经内窥镜注射硬化剂(endoscopic injection sclerosis,EIS)治疗食管静脉曲张出血后病人菌血症的发生率及持续时间进行了前瞻性研究,并评价它可能的临床意义。研究对象是14例男性病人,连续进行28次EIS。均系酒精性肝病。EIS方法是注射凝血酶后再注射5％鱼肝油酸钠。在EIS之前及完成治疗后5分钟、4小时、24小时各取血10ml,进行需氧及厌氧菌培养。EIS前做咽培养。注射器针头在完成治疗后亦做培养,在EIS后24小时内每6小时测肛温。另7例经内窥镜检查确诊为食管静脉曲张的病人作为对照组。于常规内窥镜检查前及检查后5分钟采血做血培养。
The authors prospectively studied the incidence and duration of bacteremia in patients with esophageal variceal bleeding after endoscopic injection of sclerosis (EIS), and evaluated its possible clinical significance. The study population consisted of 14 male patients with 28 consecutive EISs. Are alcoholic liver disease. EIS method is injection of thrombin after injection of 5% sodium morrhuate. Before EIS and after completion of treatment 5 minutes, 4 hours, 24 hours each blood 10ml, aerobic and anaerobic culture. EIS before pharyngeal culture. Syringes needles are also cultured after the completion of treatment, and rectal temperature is measured every 6 hours within 24 hours after EIS. Another 7 cases of endoscopic diagnosis of esophageal varices in patients as a control group. Before routine endoscopy and blood 5 minutes after the examination blood culture.