Endozain Sosa J C, Muñoz Núñez F, Rodríguez Blanes J A, González Murillo M, González García D, Berges Magaña M, Castillo Grau P, Presa Valle M, Crespo Sánchez M
Unidad de Hemorragias Digestivas Altas, Hospital La Paz.
Rev Esp Enferm Dig. 1992 Aug;82(2):79-82.
Upper gastrointestinal hemorrhage secondary to gastric varices still has a high death rate. Fourteen patients were admitted to our unit with bleeding gastric varices from November 1989 to August 1991. Endoscopic injection sclerotherapy obtained control of the bleeding in 92.3%; however, recurrences occurred in 33% of these cases in the first 24-48 hours, with a death rate of 50% during the second stage of the upper gastrointestinal hemorrhage. Total mortality rate was 21.4%. Of the fourteen patients, nine exhibited junctional varices, while five hand fundic varices. In ten of the fourteen patients, gastric varices developed during esophageal sclerotherapy. While hospitalized, it was observed that patients with gastric varices in the fundus had more recurrences and mortality, than those located next to the cardio-esophageal junction. Sclerosis of the varices only obtained temporary control of the bleeding with greater frequency of recurrences and mortality.
胃静脉曲张继发的上消化道出血死亡率仍然很高。1989年11月至1991年8月，有14例胃静脉曲张出血患者入住我院。内镜注射硬化疗法使92.3%的出血得到控制；然而，其中33%的病例在最初24 - 48小时内复发，在上消化道出血的第二阶段死亡率为50%。总死亡率为21.4%。14例患者中，9例有交界性静脉曲张，5例有胃底静脉曲张。14例患者中有10例在食管硬化治疗期间出现胃静脉曲张。住院期间观察到，胃底静脉曲张患者比贲门食管交界处静脉曲张患者有更多的复发和死亡情况。静脉曲张硬化仅能暂时控制出血，且复发和死亡率更高。
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