论文部分内容阅读
有报道输注加压素治疗急性胃病变所致的出血病例,有效率达80~90%以上。作者复习了501例上消化道出血病人,36例系应激性溃疡或胃炎,其中9例使用了加压素疗法,仅1例止血成功而避免了手术,另4例出血暂停,但又复发。作者在狗实验中用阿司匹林(20mM)和牛磺胆酸盐(10mM)溶液(pH1.0)损伤胃粘膜使之缺血,再用加压素治疗。后者提高全身动脉压,明显抑制胃分泌,但出血不见减少。作者认为加压素仅可暂时减慢失血速度,不能
It has been reported infusion of vasopressin treatment of acute gastric lesions caused by bleeding, the effective rate of 80 ~ 90%. The authors reviewed 501 patients with upper gastrointestinal bleeding, 36 patients with stress ulcer or gastritis, of which 9 patients with vasopressin therapy, only 1 case of hemostasis to avoid surgery and the other 4 cases of bleeding suspension, but relapse . The authors in the dog experiment with aspirin (20mM) and taurocholate (10mM) solution (pH1.0) damage gastric mucosa ischemia, and then treated with vasopressin. The latter increases systemic arterial pressure, significantly inhibited gastric secretion, but no reduction in bleeding. The author believes that vasopressin only temporarily slowed the rate of blood loss, can not