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本文报告应用硬化剂注射治疗30例肝硬化和10例门静脉血栓形成所引起的食管静脉曲张破裂出血的前瞻性研究结果。患者随机分为两组,第一组21例,用套鞘法注射;第二组19例,不用套鞘。第一组注射时,胃镜外先套上一根可弯曲的套鞘,曲张静脉可经套鞘前端小窗突出,这样可精确定位,减少胃食管连接处的活动,便于注射。转动套鞘,可压迫附近的曲张静脉止血,使注射时视野清楚。第二组不用套鞘,自胃镜活检钳孔插入注射针,在胃镜窥视下注射出血部位。两组患者的严重程度相仿,均用5%油酸乙醇胺作为硬化剂。第一注射疗程在出血稳定后3～6小时开始。在置放食管填塞气囊的患者,止血后即取出气囊,予以注射。每隔8
This article reports the prospective study of 30 cases of cirrhosis and 10 cases of portal vein thrombosis caused by esophageal variceal bleeding with sclerotherapy. Patients were randomly divided into two groups, the first group of 21 cases, with sheath sheath injection; the second group of 19 cases, without sheathing. The first group of injection, gastroscope outside the first set of a bendable sheath sheath, varicose veins can be highlighted by the small sheath sheath front window, so you can pinpoint the location to reduce gastroesophageal junction activity, ease of injection. Turn the sheath sheath, can be pressed near the varicose vein to stop bleeding, making the injection clear field of vision. The second group without sheath, insert the needle from the gastroscopy biopsy forceps, peep in the gastroscope under the injection site of bleeding. The severity of the two groups was similar, using 5% oleic acid ethanolamine as a hardener. The first injection course of treatment begins 3 to 6 hours after bleeding is stable. In placing esophageal air bag patients, hemorrhage immediately after the balloon was removed, to be injected. Every 8th