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消化性溃疡严重急性出血的预后由于内镜下注射治疗而得到改善,但对最佳注射方案的意见不一致;实际上硬化剂由于可引起粘膜损伤而有害。因消化性溃疡大出血而相继来院的107病人随机接受内镜下注射3~10 ml 1:10万肾上腺素(第一组,55例)或肾上腺素加5%乙醇胺0.5~2ml合并治疗(第2组,52例)。剔除了因出血点未找到或初次肾上腺素治疗未能止血的7例。所有病人在内镜下均见活跃出血或有非出血的
Peptic ulcer The prognosis for severe acute bleeding is improved due to endoscopic injection but inconsistent with the best injection protocol; in fact the hardener is detrimental as it can cause mucosal damage. A total of 107 patients randomized to hospitalization for peptic ulcer were randomized to receive 3 to 10 ml of 1 to 10 000 epinephrine (group 1, 55) or 0.5 to 2 ml of epinephrine plus 5% ethanolamine (section 2 Group, 52 cases). Excluding the bleeding point was not found or the first time the adrenaline treatment failed to stop bleeding in 7 cases. All patients underwent either endoscopic or endoscopic bleeding or non-bleeding