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目的观察急诊内镜套扎治疗食管静脉曲张破裂出血的疗效及并发症。方法采用奥林巴斯160gIF电子胃镜,六连环套扎机对43例食管静脉曲张破裂出血的患者进行治疗并随访其中的36例观察12个月。结果 43例均在胃镜下临时止血成功,止血成功率为100%,2例又联合介入进行胃冠状静脉栓塞术。43例有37例术后2周内未发生再出血,其中19例2周复查胃镜18例食管静脉曲张减轻1级或1级以上。结论急诊内镜套扎治疗食管静脉曲张破裂出血是简单、安全、有效的治疗方法,虽然远期疗效不满意,但为下一步治疗赢得宝贵的时机。
Objective To observe the efficacy and complications of emergency endoscopic ligation in the treatment of esophageal variceal bleeding. Methods A total of 43 patients with esophageal variceal bleeding were treated with Olympus 160gIF gastroscope and a six-series ligation machine. 36 cases were followed up for 12 months. Results 43 cases were successful in the temporary gastrosurgical hemostasis, the success rate of hemostasis was 100%, 2 cases were combined with interventional coronary venous thrombosis. Thirty-seven (43) cases had no rebleeding within 2 weeks after operation. Of the 19 patients who underwent endoscopy in 2 weeks, 18 had esophageal varices reduced by 1 or more. Conclusion Emergency endoscopic ligation of esophageal variceal bleeding is a simple, safe and effective method of treatment, although the long-term efficacy is not satisfied, but won the precious opportunity for the next treatment.