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目的 探讨单气囊压迫和注射硬化剂治疗食管静脉曲张出血。方法 胃镜前端弯曲部附着气囊 ,插镜后 ,在食管所注射的静脉上方给予气囊充气压迫 ,阻止所注射的硬化剂反流。注射后 ,推镜使气囊下移 ,压迫针孔 1～ 2 min,预防或控制出血。一般选 3～ 4条曲张的静脉依次注射 ,每条曲张静脉注射硬化剂 5～ 10 m l。结果 约90 %的急性出血可以被控制。通常经 4～ 5次治疗 ,曲张的静脉可以闭塞。结论 气囊压迫使食管曲张的静脉血流暂时阻断 ,硬化剂不被稀释 ,有利于止血 ,气囊压迫针孔预防针孔出血。这种方法比没有气囊压迫安全 ,并可减少肺部并发症。
Objective To investigate the single balloon compression and injection sclerotherapy for esophageal variceal hemorrhage. Methods The front end of the gastroscope attached to the balloon and the lens, after the injection of esophageal vein above the balloon inflatable compression given to prevent the injected sclerosant reflux. After injection, push the balloon down the balloon, oppression pinhole 1 ~ 2 min, to prevent or control bleeding. Generally selected 3 to 4 varicose veins followed by injections, each varicose vein sclerotherapy 5 ~ 10 m l. As a result, about 90% of acute bleeding can be controlled. Usually 4 to 5 times the treatment, varicose veins can be occluded. Conclusions Balloon compression temporarily blocks the esophageal variceal venous flow, and the hardener is not diluted, which is good for hemostasis. The balloon pressure pinhole prevents pinhole hemorrhage. This method is less stress-free than balloon compression and can reduce lung complications.