Liehr H, Brunswig D, Gallenkamp H, Seez P, Zilly W
Z Gastroenterol. 1979 Jun;17(6):343-9.
In 28 patients with acute gastrointestinal bleeding emergency fiberendoscopy was combined with aethoxysclerole (1%) injection of the bleeding lesion with purpose to controll haemorrhage. In 61% of 31 proceudres done in patients with oesophageal varices (n = 19) haemorrhage was controlled, and in further 16% deminuation of bleeding intensity was noted. In the remaining cases (n = 7) the procedure was ineffective. Only patients with Child C liver cirrhosis having oesophageal varices stages III and IV finally died because of uncontrolled haemorrhage. In 9 patients with bleeding from other lesions (gastric erosions and ulcers, Mallory-Weiss-Syndrome, erosio simplex Dieulafoy) haemorrhage was controlled in 8 patients. The method is practicable and efficient, but does not determine better the final outcome of patients with livercirrhosis Child C having oesophageal varices stages III and IV. In other cases tube treatment was avoided. The operation lethality within the series was 1,5%.
对28例急性胃肠道出血患者，采用紧急纤维内镜检查并联合注射1%乙氧硬化醇至出血病灶的方法来控制出血。在对19例食管静脉曲张患者进行的31次操作中，61%的患者出血得到控制，另有16%的患者出血强度有所减轻。其余7例操作无效。只有患有Child C级肝硬化且处于食管静脉曲张III期和IV期的患者最终因出血无法控制而死亡。在9例因其他病变（胃糜烂和溃疡、马洛里-魏斯综合征、迪厄拉富瓦单纯性糜烂）出血的患者中，8例患者的出血得到控制。该方法可行且有效，但对于患有Child C级肝硬化且处于食管静脉曲张III期和IV期的患者，并不能更好地确定其最终预后。在其他情况下避免了插管治疗。该系列手术的致死率为1.5%。
