McAlpine L G, Birnie G G, Hilditch T E, Dagg J H
Department of Medicine, Western Infirmary, Glasgow.
Scott Med J. 1988 Dec;33(6):370-1. doi: 10.1177/003693308803300608.
A 64-year-old man with hepatic cirrhosis developed severe haemorrhage from oesophageal varices. He underwent a course of sclerotherapy injections which successfully obliterated the oesophageal varices and prevented further oesophageal bleeding. He later developed serious bleeding from a site in the region of the ascending colon; angiography and radionuclide imaging suggested that varices were present in that region. Therapy with oral propranolol was effective in preventing any recurrence of gastrointestinal bleeding.
一名64岁的肝硬化男性患者出现食管静脉曲张严重出血。他接受了一系列硬化剂注射治疗,成功消除了食管静脉曲张并防止了进一步的食管出血。后来,他在升结肠区域的一处发生严重出血;血管造影和放射性核素成像显示该区域存在静脉曲张。口服普萘洛尔治疗有效地防止了胃肠道出血的任何复发。