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在内镜直视下进行,20例使用纯酒精,22例使用5%鱼肝油酸钠。向曲张静脉内及周围注入。每点注射1.5～3ml,1次总量为8～12ml,每隔7～14天重复注射,4次为1个疗程。42例共接受48个疗程,126次注射(每例1～5次,平均2.3次),541个注射点(每次3～6个注射点)。其中,注入静脉内者182个点,注入曲张静脉周围341个点,因出血量较大、视野不清,盲目注射者18个点。有13例急性出血者用纯酒精注射,成功11例(84.6%);另12例均以5%鱼肝油酸钠治疗,成功9例(75%),两组药效无显著性差异。纯洒精硬化剂在临床使用中确实安全、有效,并发症少,又较5%鱼肝油酸钠为优。
Under endoscopy, 20 patients had pure alcohol and 22 patients had 5% sodium morrhuate. Into the varicose veins and around the injection. Each point of injection 1.5 ~ 3ml, a total of 8 ~ 12ml, repeated every 7 to 14 days, 4 times for a course of treatment. Forty-two patients received a total of 48 courses of treatment, 126 injections (1 to 5 times per case, an average of 2.3), and 541 injection points (3 to 6 injection points each). Among them, the intravenous injection of 182 points, infusing varicose veins around 341 points, due to the larger amount of bleeding, blurred vision, blind injection of 18 points. Thirteen cases of acute hemorrhage were injected with pure alcohol, 11 cases were successful (84.6%); the other 12 cases were treated with 5% sodium morrhuate, 9 cases were successful (75%). There was no significant difference between the two groups. Pure sprinkle fine sclerotherapy in clinical use is indeed safe, effective, less complications, but also better than 5% sodium morronite.