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食管静脉曲张破裂出血是肝硬化门脉高压最严重的并发症,死亡率极高.内镜下套扎术(EVL)是近几年刚在国内应用治疗食管静脉曲张出血的新方法.我们应用该疗法治疗肝硬化食道静脉曲张15例,初步显示其优点及不足,现总结如下.1 临床资料1.1 病例来源:选择肝炎后肝硬化伴食管静脉破裂出血住院病人15例,男12例,女3例,年龄29～68岁,其中3例曾行脾切除术,全部均先经保守治疗后活动性出血控制,均未曾行硬化治疗.15例中.重度静脉曲张10例,中度曲张5例,无1例有胃底静脉曲张.肝功能分级:Child A级9例,B级3例,C级3例.1.2 设备及方法:采用天津天医医用硅胶制品厂生
Esophageal variceal bleeding is the most serious complication of portal hypertension in cirrhosis, the mortality rate is extremely high.Endoscopic ligation (EVL) is just a new method of bleeding in recent years in the treatment of esophageal varices in China.We use The treatment of cirrhosis of the esophageal varicosis in 15 cases, initially showed its advantages and disadvantages, are summarized as follows.1 Clinical data 1.1 Case Source: Select Hepatitis cirrhosis with esophageal variceal bleeding inpatients in 15 cases, 12 males and 3 females Cases, aged 29 to 68 years, of which 3 cases had splenectomy, all were conservative treatment of active bleeding control, were not sclerosis treatment .15 cases of severe varicose vein in 10 cases, moderate varicose in 5 cases , No case of gastric varices liver function grading: Child A grade in 9 cases, B grade in 3 cases, C grade in .1.2 equipment and methods: Tianjin Tianyu Medical Silicone Products Factory Health