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本试验旨在研究应用硬化剂、心得安和两者联合治疗在降低肝硬化食管静脉曲张患者首次大出血的发生率和减轻严重程度的预防作用。病人和方法:选择肝硬化、内镜发现有食管静脉曲张、有上消化道出血史、但未曾输血的患者,随机分为四组:1.对照组(72例):不用硬化剂及心得安。2.硬化剂治疗组(73例):从胃食管交界处开始,在静脉旁粘膜下每隔2~3cm注射乙氧硬化醇1~2ml,一次治疗的最大用量30ml,1~2周后重复,直到静脉曲张消失。3.
This study aimed to study the application of sclerotherapy, propranolol and the combination of both in reducing the incidence of cirrhosis esophageal varices in patients with the first major bleeding and reduce the severity of the preventive effect. Patients and Methods: Patients with cirrhosis, endoscopic esophageal varices, history of upper gastrointestinal bleeding, but no blood transfusion were randomly assigned to four groups: 1. Control group (n = 72) without sclerosant and propofol . 2 sclerotherapy group (73 cases): starting from the junction of the gastroesophageal junction, next to the paravenous mucosa every 2 ~ 3cm injection of ethoxylated alcohol 1 ~ 2ml, a treatment of the maximum amount of 30ml, 1 to 2 weeks after the repeat Until the varicose veins disappear. 3.