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[食管胃静脉曲张破裂:用一种新型止血管治疗(作者译)]

[Rupture of oesophagogastric varices: treatment by a new haemostatic tube (author's transl)].

作者信息

Michel H

出版信息

Nouv Presse Med. 1978 Oct 21;7(36):3245-8.

PMID:366559
Abstract

The immediate arrest of haemorrhage due to ruptured oesophageal varices may be obtained only by the insertion of a haemostatic tube with a balloon. Tubes used up to the present time have been more or less discredited. Some authors consider the Sengstaken tube to be dangerous: rupture of oesophagus, asphyxia, bronchial inhalation of oesophageal secretions etc. The Lindon tube has a single grave disadvantage: cardio-oesophageal ulceration due to traction. The new tube would seem to be free of these problems since no traction is used and it is possible to suck out oesophageal secretions, thereby suppressing the risk of bronchial inhalation.

摘要

只有通过插入带气囊的止血管才能立即止住因食管静脉曲张破裂引起的出血。到目前为止所使用的管子或多或少都受到质疑。一些作者认为Sengstaken管很危险:会导致食管破裂、窒息、支气管吸入食管分泌物等。Lindon管有一个严重的缺点:由于牵引导致心-食管溃疡。这种新管子似乎没有这些问题,因为不使用牵引,而且可以吸出食管分泌物,从而降低支气管吸入的风险。

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