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目的探讨急诊内镜下套扎对肝硬化食管静脉曲张破裂出血的安全性及临床疗效。方法回顾性分析2008年1月至2011年12月间接受单纯食管静脉曲张套扎术(EVE)治疗46例患者的临床资料,观察其疗效、再出血率及并发症。结果 46例急诊止血成功43例,静脉曲张总体消失26例,1年内再出血15例,部分患者术后出现轻度的胸骨后烧灼样不适及吞咽困难,可自行缓解,无严重并发症发生。结论单纯套扎治疗曲张静脉创伤小、成功率高、安全、有效且并发症少,能有效控制活动性食管静脉出血,值得临床推广。
Objective To investigate the safety and clinical efficacy of emergency endoscopic ligation in the treatment of cirrhosis esophageal variceal bleeding. Methods The clinical data of 46 patients who underwent simple esophageal varices ligation (EVE) between January 2008 and December 2011 were retrospectively analyzed. The curative effect, rebleeding rate and complications were observed. Results Of the 46 cases, 43 cases were successfully stopped by hemostasis, 26 cases were disappeared in total, and 15 cases were rebleeded in one year. Some patients had mild post-operative sternal burn-like discomfort and dysphagia, which could be relieved without serious complications. Conclusions The simple ligation treatment of varicose vein trauma, high success rate, safe, effective and less complications, can effectively control the activity of esophageal and venous hemorrhage, worthy of clinical promotion.