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Clinical study on treating esophageal varicosis by different sclerosing agents and vasopressin
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摘要: 探讨不同硬化剂行食道曲张静脉内注射治疗大出血的疗效,按时间前后顺序将患者随机分为3组,1组5%鱼肝油酸钠加用立止血组,2组1%乙氧硬化醇加用立止血组,3组1%乙氧硬化醇加用立止血并用加压素组,结果,曲张静脉消失率三组相似,3组患者拔针后注射部位出血发生率明显低于前两组,2,3组患者注射后发热,疼痛,溃疡发生率明显低于1组。说明:1%乙氧硬化醇合用立止血加用加压素是最佳的硬化治疗方法。Abstract: To evaluate the curative effect of esophageal varicosis bleeding by intravenous injection of different sclerosing agents.We divided patients into 3 groups randomly in time order.Group 1: sodium morrhuate 5% and reptilase;Group 2: aethoxysklerol 1% and reptilase;Group 3: aethoxysklerol 1% and vasopressin.The rate of varicose vein disappearance was similar among these 3 groups, the incidence of bleeding on needle position after injection in group 3 was lower distinctly than that of in group 1 and group 2, while the incidence of fever, pain and ulcer in group 2 and group 3 lower than that of in group 1.Conclusion: The best sclerosing medication in combining use of aethoxysklerol 1%, reptilase and vasopressin.
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Key words:
- esophageal varicosis /
- sclerosing medication /
- vasopressin
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[1] 日本门静脉压亢进症研究会.食管静脉瘤内视镜所见记载基准[J].肝脏, 1980, 21∶779. [2]李长政, 程留芳, 王志强, 等.硬化治疗后曲张静脉内镜和超声内镜表现的演变[J].中华消化内镜, 2003, 20 (1) ∶20-23. [3] 吴云林.消化内镜操作技巧[M].上海:上海科学技术文献出版社, 1993∶4-6. -
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