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注射硬化疗法在食管静脉曲张急诊及择期治疗中的应用

Injection sclerotherapy in the emergency and elective treatment of oesophageal varices.

作者信息

Johnson A G

出版信息

Ann R Coll Surg Engl. 1977 Nov;59(6):497-501.

PMID:303884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2491825/
Abstract

Injection sclerotherapy with careful attention to initial diagnosis and technique is an effective way of stopping oesophageal variceal bleeding. It can also be used electively at 3-monthly intervals to obliterate varices after they have once bled. It is relatively safe and simple, but patients must be follwed up and reassessed at least every 6 months, when new varices may be injected if they occur. It is particularly suitable when the experience and facilities for emergency portacaval shunts are not available.

摘要

注射硬化疗法,同时仔细关注初始诊断和技术,是阻止食管静脉曲张出血的有效方法。它也可在静脉曲张一旦出血后,每隔3个月选择性地用于消除静脉曲张。该方法相对安全且简单,但必须至少每6个月对患者进行随访和重新评估,若出现新的静脉曲张则可进行注射。当没有进行急诊门腔分流术的经验和设备时,该方法尤为适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/d52aee0f7d97/annrcse01485-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/1f7b22d0e8f4/annrcse01485-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/65a2bc212a54/annrcse01485-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/9c266528c995/annrcse01485-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/d52aee0f7d97/annrcse01485-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/1f7b22d0e8f4/annrcse01485-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/65a2bc212a54/annrcse01485-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/9c266528c995/annrcse01485-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a182/2491825/d52aee0f7d97/annrcse01485-0053-b.jpg

相似文献

1
Injection sclerotherapy in the emergency and elective treatment of oesophageal varices.注射硬化疗法在食管静脉曲张急诊及择期治疗中的应用
Ann R Coll Surg Engl. 1977 Nov;59(6):497-501.
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Emergency and elective sclerotherapy of oesophageal varices.食管静脉曲张的急诊和择期硬化疗法
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引用本文的文献

1
Acute variceal hemorrhage: the persistent bleeder. A plea for management.急性静脉曲张出血:持续性出血者。关于处理的呼吁。
World J Surg. 1994 Mar-Apr;18(2):273-8; discussion 278. doi: 10.1007/BF00294413.
2
[Fiberscopic obliteration of esophageal varices (author's transl)].纤维内镜下食管静脉曲张闭塞术(作者译)
Langenbecks Arch Chir. 1980;351(3):219-28. doi: 10.1007/BF01262714.
3
Does multiple injection sclerotherapy have a role in the long-term management of oesophageal varices?多次注射硬化疗法在食管静脉曲张的长期管理中是否起作用?

本文引用的文献

1
Treatment of oesophageal varices in portal hypertension by means of sclerosing injections.通过硬化剂注射治疗门静脉高压症中的食管静脉曲张。
Br Med J. 1955 Oct 8;2(4944):877-80. doi: 10.1136/bmj.2.4944.877.
2
Compression sclerotherapy. Paper read during the Annual General Meeting in Bristol on 17th December 1966.压迫硬化疗法。1966年12月17日在布里斯托尔年度股东大会上宣读的论文。
Ann R Coll Surg Engl. 1967 Oct;41(4):364-9.
3
Emergency endoscopy after gastrointestinal haemorrhage in 50 patients with portal hypertension.50例门静脉高压症患者胃肠道出血后的急诊内镜检查
Postgrad Med J. 1982 Jul;58(681):399-402. doi: 10.1136/pgmj.58.681.399.
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Bleeding varices: 1. Emergency management.静脉曲张出血:1. 急诊处理。
Can Med Assoc J. 1981 Jan 1;124(1):29-41.
5
Choice of treatment in the management of bleeding oesophageal varices in patients with cirrhosis.肝硬化患者食管静脉曲张出血的治疗选择
Ulster Med J. 1978;47(2):151-6.
Br Med J. 1974 Oct 12;4(5936):94-6. doi: 10.1136/bmj.4.5936.94.
4
Emergency portacaval shunt treatment for bleeding esophageal varices. Prospective study in unselected patients with alcoholic cirrhosis.急诊门腔分流术治疗食管静脉曲张破裂出血。对未经挑选的酒精性肝硬化患者的前瞻性研究。
Arch Surg. 1974 Mar;108(3):293-9. doi: 10.1001/archsurg.1974.01350270027006.
5
A review of 15 years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices.对15年使用硬化疗法控制食管静脉曲张急性出血经验的回顾。
Br J Surg. 1973 Oct;60(10):797-800. doi: 10.1002/bjs.1800601011.
6
Modified oesophagoscope for injecting oesophageal varices.用于注射食管静脉曲张的改良食管镜。
Br Med J. 1975 Jun 7;2(5970):540-1. doi: 10.1136/bmj.2.5970.540-a.