肝硬化合并食管静脉曲张出血128例临床分析

张文辉; 高丽丽; 王新真; 向璐; 刘亭亭; 程留芳; 金波; 李捍卫; 韩军

doi:10.3969/j.issn.1005-1139.2012.08.012

肝硬化合并食管静脉曲张出血128例临床分析

Treatment of hepatocirrhosis accompanying hemorrhage from esophageal varices: A clinical analysis of 128 cases

摘要

摘要: 目的回顾分析急诊内镜治疗肝硬化合并食管静脉曲张出血疗效。方法内镜下套扎、硬化和组织黏合剂栓塞等治疗128例肝硬化合并食管静脉曲张出血。结果 116例止血成功（90.6%），硬化、套扎、组织黏合剂注射的止血率分别为91.0%、95.0%和90.0%。死亡7人，病死率5.5%。胃镜诊治过程中未出现死亡。结论肝硬化合并食管静脉曲张破裂出血，针对不同的情况采取不同的内镜下治疗可以达到较好的治疗效果。

Abstract: Objective To retrospectively analyze the therapeutic effect of endoscopic therapy on hepatocirrhosis accompanying hemorrhage from esophageal varices in 128 patients. Methods Hemorrhage from esophageal varices in 128 patients with hepatocirrhosis was treated by ligation,sclerotherapy and embolism with tissue adhesives under endoscope. Results Bleeding from esophageal varices was stopped in 116 out of the 128 patients with a success rate of 90.6%.The hemostatic rate was 91.0%,95.0% and 90.0% respectively for ligation,sclerotherapy and embolism with tissue adhesives.Seven patients died with a mortality of 5.5%.No death occurred during the diagnosis and treatment of hemorrhage from esophageal varices under endoscope. Conclusion The therapeutic effect of ligation,sclerotherapy and embolism with tissue adhesives under endoscope is rather good for patients with hepatocirrhosis accompanying hemorrhage from esophageal varices.

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