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本文运用酚妥拉明和垂体后叶素联合治疗肝硬化食管静脉曲张破裂出血,获得较满意的疗效,现报告如下。 1 临床资料 1.1 一般资料 男24例,女7例,平均年龄46.5岁,病程半年～20年,据child肝功能分级:A级6例、B级20列、C级5例,其中表现为呕血19例,柏油样大便12例。经临床及纤维胃镜检查均确诊为食管静脉曲张出血。病因:肝炎后肝硬化29例,酒精性肝硬化1例,血吸虫性肝硬化1例。其中8例既往有出血或黑便史,治疗前未采用其它止血方法。
In this paper, phentolamine and pituitrin combined treatment of cirrhosis of esophageal variceal bleeding, more satisfactory curative effect, are as follows. 1 Clinical data 1.1 General Information 24 males and 7 females, average age 46.5 years, duration of six months to 20 years, according to child liver function grading: A grade in 6 cases, B grade 20, C grade in 5 cases, which showed vomiting 19 cases, 12 cases of asphalt-like stool. After clinical and fiber endoscopy were diagnosed as esophageal variceal bleeding. Etiology: hepatitis cirrhosis in 29 cases, alcoholic cirrhosis in 1 case, schistosome cirrhosis in 1 case. Among them, eight had previous history of bleeding or melena, and no other hemostasis was used before treatment.