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门静脉高压症患者食管胃静脉曲张出血的微创治疗

[Minimal invasive treatment of bleeding of esophagus and stomach varices in patients with portal hypertension].

作者信息

Zubritskiĭ V F, Zabelin M V, Sal'nikov A A, Konenkova M A, Davydov D O

出版信息

Eksp Klin Gastroenterol. 2010(5):48-51.

Abstract

The results of examination and treatment of 57 patients with liver cirrhosis and portal hypertension with bleeding from the varices of the esophagus and stomach, admitted in the Clinical Hospital No 29 named after N.E. Bauman in Moscow. The Studies show that the efficiency of the radio-endovascular embolization for bleeding varices of the esophagus and the stomach is 89,5% of patients.The use of prolonged infusions of vasoconstrictors in combination with venous embolization helps further reduce portal hypertension and has a hemostatic effect in 10.5% of patients. The study shows the therapeutic tactic in bleeding varices of the esophagus and the stomach should be individualized and based on clinical-endoscopic prediction of rebleeding according to the severity of blood loss and patient's condition.

摘要

对莫斯科以N.E. 鲍曼命名的第29临床医院收治的57例肝硬化门静脉高压伴食管胃静脉曲张出血患者的检查和治疗结果。研究表明,食管胃静脉曲张出血的放射血管内栓塞术对患者的有效率为89.5%。使用血管收缩剂长时间输注联合静脉栓塞有助于进一步降低门静脉高压,对10.5%的患者有止血作用。研究表明,食管胃静脉曲张出血的治疗策略应个体化,并基于根据失血量和患者病情严重程度对再出血进行临床内镜预测。

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