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对190例非门脉高压性上消化道出血患者随机分组,行内镜下止血治疗。Ⅰ组96例,内镜下局部喷洒5%孟氏液(碱式硫酸铁溶液);Ⅱ组94例,内镜下注射110000肾上腺素溶液。结果,治疗后1周内无再出血的显效率和总有效率,两组差异无显著性(P>0.05);但Ⅰ组部分病例出血范围大、弥散,内镜下注射针不能达病灶部位。提示,对内镜下注射止血有困难者,采用孟氏液内镜下局部喷洒治疗,疗效满意,可供临床选用。
190 cases of non-portal hypertensive upper gastrointestinal bleeding were randomly divided into groups, endoscopic treatment of hemostasis. In group Ⅰ, 96 cases were locally treated with 5% Monteggia solution (alkaline ferric sulfate solution) under endoscopy; 94 cases in group Ⅱ were treated with endoscopic injection of 110,000 adrenaline solution. The results showed that there was no significant recurrence rate and total effective rate within 1 week after treatment, there was no significant difference between the two groups (P> 0.05). However, some cases in group I had a large range of bleeding, diffuse, Lesions site. Tip, endoscopic injection of hemostasis who have Monteggia endoscopic spray treatment, the effect is satisfactory for clinical use.