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为了进一步提高经胃镜注射硬化剂治疗食管静脉曲张破裂出血疗效，避免注射过程中出现的针孔大出血。采用硬化剂注射附加气囊压迫治疗104例食管曲张静脉破裂出血患者。操作过程：将气囊套入胃镜末端距镜头5mm处，对曲张静脉分别注射1％乙氧硬化醇15～25ml或5％鱼肝油酸钠5～8ml后拔出注射针，将内镜向前推进30～50ml，向气囊内注入20ml空气，使气囊压迫注射针孔3～5分钟。结果：104例患者，共298例次（1124条曲张静脉）无一例发生注射后针孔大出血，24例次（8．1％）有少许渗血。85例1个月内未再发生出血。总止血率为81．7％。经过2～3次硬化剂注射治疗后，53例（51％）食管曲张静脉完全消失，其余患者静脉曲张均有明显缩小。无一例出现严重并发症。本文结果显示：该项技术简便、安全、有效，经过多次注射可以达到食管曲张静脉缩小消失，可以有效地治疗活动性食管静脉曲张出血，预防复发性出血。
In order to further enhance the efficacy of transdermal injection of sclerosing agent in the treatment of esophageal varices bleeding, to avoid the occurrence of injection of pinhole bleeding. Forty-four patients with esophageal variceal bleeding were treated with sclerosant injection of additional balloon compression. Procedure: The balloon into the gastroscope at the end of the lens 5 mm away from the lens, varicose veins were injected with 1% ethoxylated alcohol 15 ~ 25ml or 5% sodium morrhuate 5 ~ 8ml after pulling out the needle, the endoscopic advance 30 ~ 50ml, 20ml of air into the balloon, the balloon oppression injection pinhole 3 to 5 minutes. RESULTS: None of the 104 patients (298 episodes (1124 varicose veins) had major pinhole hemorrhage after injection), with a slight bleeding in 24 episodes (8.1%). 85 cases within 1 month no recurrence of bleeding. The total hemostasis rate was 81.7%. After 2 or 3 sclerotherapy injections, 53 (51%) of the esophageal varices disappeared completely and the remaining varicose veins conspicuously decreased. No case of serious complications. The results show that: The technique is simple, safe and effective, after repeated injections can be achieved esophageal varices disappear, can effectively treat active esophageal variceal bleeding, prevent recurrent bleeding.