478例食管胃静脉曲张出血急诊内镜治疗

Endoscopic treatment of esophagogastric variceal hemorrhage in 478 emergency patients

摘要: 目的回顾分析急诊内镜治疗肝硬化合并食管胃静脉曲张出血疗效。方法 478例次肝硬化合并食管胃静脉曲张出血，采取内镜下套扎、硬化和组织粘合剂栓塞治疗466例次。结果 413例次止血成功(88.6%)，硬化、套扎、组织粘合剂注射的止血率分别为87.8%、89.8%和90.8%。死亡23例，病死率4.9%。结论针对不同出血情况采取不同的内镜下治疗可达到较好的治疗效果。

Abstract: Objective To retrospectively analyze the effect of endoscopic treatment on cirrhosis accompanying acute esophagogastric variceal hemorrhage in emergency patients. Methods Of the 478 patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage, 466 were treated by endoscopic ligation, sclerotherapy and embolism, respectively. Results Among the 466 patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage, bleeding was successfully stopped in 413 by endoscopic ligation, sclerotherapy and embolism, with a success rate of 87.8%, 89.8% and 90.8%, respectively. Twenty-three patients died with a death rate of 4.9%. Conclusion The outcome of patients with cirrhosis accompanying acute esophagogastric variceal hemorrhage is rather good after endoscopic treatment according to their hemorrhage.