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患者:男,60岁。乙型肝炎后肝硬化16年。15年前多次呕血,14年前在上海交通大学医学院附属瑞金医院外科行脾脏切除及断流手术。7年前反复多次大量呕血,病情危急,经瑞金医院外科、肝病科及介入治疗科会诊讨论,建议行内镜下治疗。5个月后内镜检查示食管严重静脉曲张伴红色征,可见4条明显曲张的食管静脉,呈扭曲结节状,曲张静脉间存有交通支(见图1A),遂对食管所有曲张静脉行食管静脉曲张套扎(EVL)治疗术(见图1B、C)。其后2个月行第
Patient: Male, 60 years old. Hepatitis B cirrhosis 16 years. 15 years ago, multiple vomiting, 14 years ago in Shanghai Jiao Tong University School of Medicine Ruijin Hospital surgical splenectomy and disconnection surgery. 7 years ago, repeatedly vomiting a large number of massive, critical condition, the Ruijin Hospital Surgery, Department of Hepatology and interventional treatment consultation discussion, recommended endoscopic treatment. 5 months after endoscopic examination showed severe esophageal varicose veins with red signs, showing four obvious varicose esophageal vein, showing twisted nodules, varicose veins exist traffic branch (see Figure 1A), then the esophageal varicose vein Esophageal varices ligation (EVL) treatment (see Figure 1B, C). Followed by two months in the first line