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食管静脉曲张破裂出血是肝硬化门脉高压的严重并发症,是导致肝硬化患者死亡的主要原因。以往治疗方法如药物治疗、三腔两囊管压迫、外科急症分流术效果不佳,胃镜下食管静脉曲张结扎术(endoscopic variceal ligation,EVL)是近年国内外治疗食管静脉曲张破裂出血的新方法,它具有成功率高、并发症少、操作方便容易等优点。1996年12月至1998年7月我科对食管静脉曲张破裂活动性出血的患者,行急症EVL,取得良好疗效,现报道如下。1 临床资料1．1 病例来源①EVL组38例,男28例,女10例,年龄27~68岁,平均52岁。选自1996年12月~1998年7月消化科、急症科住院患者,有呕血和黑便,经内镜证实均为食管静脉曲张破裂出血。Child分级A级:12例;B级:16例;C级:10例。②三腔
Esophageal variceal bleeding is a serious complication of portal hypertension in cirrhosis and is the leading cause of death in cirrhotic patients. In the past, the treatment methods such as drug therapy, triple lumen compression and surgical acute shunt were ineffective. Endoscopic variceal ligation (EVL) was a new method to treat esophageal variceal bleeding at home and abroad in recent years. It has high success rate, fewer complications, easy operation and so on. December 1996 to July 1998 our department of active esophageal variceal bleeding in patients with acute EVL, and achieved good results, are reported below. 1 Clinical data 1.1 Case Source ① 38 cases of EVL group, 28 males and 10 females, aged 27 to 68 years, mean 52 years. From December 1996 to July 1998 Department of Gastroenterology, Department of Emergency Diseases inpatients with vomiting and melena, endoscopic confirmed as esophageal variceal bleeding. Child grade A: 12 cases; B: 16 cases; C: 10 cases. ② three chambers