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我们用明矾液保留灌肠治疗溃疡性结肠炎出血31例,取得满意疗效,现报告如下。一、资料和方法:1.药液配制:取医用明矾5g,加蒸馏水500ml,配成1%无色透明液体,高压消毒后备用。 2.病例选择:本组31例根据血便、腹泻、腹痛等症状由结肠镜确诊,排除其它消化道出血。其中男19例,女12例;年龄23~61岁,平均34岁。 3.治疗方法:病人确诊后予以1%明矾液150~300ml灌肠,每次保留30分钟,每日2次。灌肠后嘱病人轻轻转动体位,使药液分布均匀。二、结果:1.疗效判定:①有效:灌肠48小时后未再出现出血证据者。②无效:灌肠后仍便血、结肠镜仍可见出血或渗血者。
We use alum retention enema enema treatment of ulcerative colitis in 31 cases, and achieved satisfactory results, are as follows. First, the information and methods: 1. Preparation of liquid medicine: Take medical alum 5g, add distilled water 500ml, dubbed 1% colorless and transparent liquid, high pressure disinfection reserve. 2. Case selection: 31 cases of this group according to bloody stools, diarrhea, abdominal pain and other symptoms confirmed by colonoscopy, excluding other gastrointestinal bleeding. Including 19 males and 12 females; aged 23 to 61 years, mean 34 years. 3. Treatment: The patient was diagnosed with 1% alum solution 150 ~ 300ml enema, each reserved for 30 minutes, 2 times a day. After the enema instruct patients to gently rotate the body position, so that liquid evenly distributed. Second, the results: 1. Therapeutic effect: ① effective: no evidence of bleeding after 48 hours enema. ② invalid: after the enema is still blood in the stool, colonoscopy still visible bleeding or bleeding.