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[门静脉高压症胃肠道出血的现代保守治疗原则]

[Principles of the present-day conservative therapy of gastro-intestinal bleedings in portal hypertension].

作者信息

Andreev G N, Turmakhanov S T, Asadulaev Sh M, Saadulaeva M M

出版信息

Vestn Khir Im I I Grek. 2008;167(2):84-6.

Abstract

The dynamics of conservative treatment of 1091 patients was analyzed for the period from 1964 through 2000. Best results were obtained when instead of traditional hemostatic therapy the patients were treated by combined methods aimed not only at obtaining hemostasis but also at elimination of disorders in the aggregate composition of blood, of microcirculatory disorders, that promoted restoration of the functional ability of the liver. With that end in view, fresh-frozen plasma, albumin, membranotropic, antioxidant, desaggregant and detoxicating therapy were used, with hematocrit lower than 30% hemocomponents were used.

摘要

对1964年至2000年期间1091例患者的保守治疗动态进行了分析。当采用联合治疗方法而非传统止血疗法时,取得了最佳效果,联合治疗方法不仅旨在实现止血,还旨在消除血液总体成分紊乱、微循环障碍,从而促进肝脏功能能力的恢复。为此,使用了新鲜冷冻血浆、白蛋白、膜活性、抗氧化、解聚和解毒疗法,当血细胞比容低于30%时使用血液成分。

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