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目的 探讨奥曲肽在内镜粘合剂D -TH治疗食管和胃静脉曲张中的作用。方法 粘合剂D -TH内镜注射治疗前 5h起静脉维持滴注奥曲肽 0 0 2 5mg/h ,术前 2 0′静脉注射冲击量奥曲肽 0 1mg。内镜直视下注射D -TH液治疗肝硬化食管和胃静脉曲张及其出血。结果 D -TH治疗 7例食管和胃静脉曲张破裂急性出血均获即时止血 ,8例食管和胃粗大曲张静脉注射D -TH和硬化剂治疗均无针孔出血。结论 应用奥曲肽有助于食管和胃静脉曲张及其出血的内镜下D -TH硬化治疗 ,术后维持治疗可有效降低再出血率。粘合剂D -TH能有效控制食管和胃静脉曲张出血 ,避免粗大曲张静脉针孔出血
Objective To investigate the role of octreotide in the treatment of esophageal and gastric varices with endoscopic adhesive D-TH. Methods Adhesive D-TH endoscopic injection of intravenous maintenance of intravenous octreotide 0 025mg / h 5h before surgery, 2O ’intravenous injection of octreotide 0 1mg before surgery. Endoscopic D-TH injection of fluid under the treatment of cirrhosis of the esophagus and gastric varices and bleeding. Results D -TH treatment of 7 cases of esophageal and gastric variceal bleeding were immediate hemostasis, 8 cases of esophageal and gastric varicose vein injection of D -TH and sclerotherapy were no pinhole bleeding. Conclusion The application of octreotide is helpful in the treatment of endoscopic D -TH sclerosis of esophageal and gastric varices and hemorrhage. Postoperative maintenance therapy can effectively reduce the rate of rebleeding. Adhesive D -TH can effectively control the esophageal and gastric variceal bleeding, avoid bleeding varicose veins