Szalai Milán, Kullmann Tamás, Durcsán Henryka, Regőczi Henriett, Kiss Gyöngyi, Rácz István
Petz Aladár Megyei Oktató Kórház Gasztroenterológiai Osztály Győr Vasvári Pál u. 2. 9024.
Petz Aladár Megyei Oktató Kórház Onkoradiológiai Osztály Győr.
Orv Hetil. 2015 Mar 29;156(13):528-31. doi: 10.1556/OH.2015.30112.
Early endoscopic diagnosis and endoscopic therapy are very important in cases of acute gastrointestinal bleeding. Hemospray is an inorganic powder with hemostatic properties recently proposed for the treatment of acute gastrointestinal bleeding.
The aim of the authors was to report the first Hungarian experience obtained with Hemospray in patients with acute gastrointestinal bleeding.
During a 14-month period 10 acute upper gastrointestinal bleeder patients were treated endoscopically with Hemospray in 11 settings. In 5 patients previous endoscopic hemostatic methods failed and in the remaining 5 patients Hemospray was administrated as a first-line therapy.
Primary hemostasis was achieved in 9 of the 10 patients treated with Hemospray. Two patients died during hospitalization (uncontrolled arterial bleeding in one patient and hepatic encephalopathy in the other one patient). Primary hemostasis and hemodynamic stability were achieved in each of the 4 patients who had thrombopenia.
Hemospray as a rescue therapy may ensure primary hemostasis in severe acute gastrointestinal bleeding even in cases with thrombopenia.
早期内镜诊断和内镜治疗在急性胃肠道出血病例中非常重要。血喷（Hemospray）是一种最近被提出用于治疗急性胃肠道出血的具有止血特性的无机粉末。
作者的目的是报告在匈牙利首次使用血喷治疗急性胃肠道出血患者的经验。
在14个月的时间里，对10例急性上消化道出血患者进行了11次内镜下血喷治疗。5例患者先前的内镜止血方法失败，其余5例患者将血喷作为一线治疗方法。
接受血喷治疗的10例患者中有9例实现了初步止血。2例患者在住院期间死亡（1例患者为无法控制的动脉出血，另1例患者为肝性脑病）。4例血小板减少症患者均实现了初步止血和血流动力学稳定。
血喷作为一种挽救疗法，即使在血小板减少症患者中，也可能确保严重急性胃肠道出血的初步止血。
