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用结扎和外剥内扎方法治疗三期内痔、混合痔,有时会出现术后大出血。据有关资料报道:出血率为0.5%~3%。我科在1978年采用外剥内扎的方法治疗52例混合痔的病人,曾有4例发生继发性大出血。1979年1月以来,改用结扎加注射硬化剂治疗120例混合痔的病人,无一例发生继发性大出血,现将我们的经验体会介绍如下。一、硬化剂的配制目前我们临床采用的硬化剂是中医研究院广安门医院“775”注射液,其配制方法如下: 【配方】鞣酸(五倍子内提取)0.15克,硫酸钾铝(药用明矾)4克,枸橼酸钠1.5克,低分子右旋糖酐10毫升,甘油10毫升,三氯叔丁醇0.5克,蒸馏水加至100毫升。【制法】先将枸橼酸钠溶解于50毫升温蒸馏水
With ligation and removal of internal ligation treatment of internal hemorrhoids, mixed hemorrhoids, sometimes bleeding after surgery. According to the information reported: bleeding rate of 0.5% to 3%. Our department in 1978 using the method of stripping ligation of 52 cases of mixed hemorrhoids patients, there have been 4 cases of secondary bleeding. Since January 1979, the switch to the ligation plus injection sclerosing agent in the treatment of 120 patients with mixed hemorrhoids, no case of secondary bleeding occurred, now we experience the experience described below. First, the hardener preparation At present, our clinical use of sclerotherapy is Guanganmen Hospital, Chinese Academy of Medical Sciences “775” injection, which is formulated as follows: [Formula] tannic acid (gallnut extract) 0.15 grams, potassium aluminum sulfate Alum) 4 g, sodium citrate 1.5 g, low molecular dextran 10 ml, glycerin 10 ml, 0.5 g of chlorobutanol, distilled water to 100 ml. 【Method】 first sodium citrate dissolved in 50 ml warm distilled water