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目的观察药物联合内镜下治疗食管胃底静脉曲张破裂出血的临床疗效及安全性。方法对56例食管胃底静脉曲张破裂出血患者联合药物及内镜下治疗,单纯食管静脉曲张采用套扎或硬化治疗,但急性出血时首选组织粘合剂注射,对合并的胃底曲张静脉同时行组织粘合剂注射。术后观察不良反应、并发症和近期疗效。结果 53例止血成功,成功率94.64%,1例仍有便血,2例发生脑梗死,考虑组织粘合剂引起的异位栓塞。结论药物联合内镜下治疗食管胃底静脉曲张破裂出血安全、有效,但需警惕异位栓塞的发生。
Objective To observe the clinical efficacy and safety of drugs combined with endoscopic treatment of esophageal and gastric variceal bleeding. Methods 56 patients with esophageal and gastric variceal bleeding combined with drug treatment and endoscopic treatment of simple esophageal varices ligation or sclerotherapy, but the preferred tissue adhesive injection during acute hemorrhage, the merger of the gastric varices at the same time Line tissue adhesive injection. Postoperative adverse reactions, complications and short-term efficacy. Results The hemostasis was successful in 53 cases, with a success rate of 94.64%. One patient still had blood in the stool and two patients had cerebral infarction. Heterotopic embolism caused by tissue adhesive was considered. Conclusion The combination of drugs and endoscopic treatment of esophageal variceal bleeding is safe and effective, but the need to guard against the occurrence of ectopic embolism.