Boix J, Planas R, Humbert P, Fabrega C, Villagrasa M
Servicio de Aparato Digestivo, Hospital de Badalona Germans Trias i Pujol, Barcelona.
Endoscopy. 1987 Nov;19(6):225-7. doi: 10.1055/s-2007-1018289.
For the purpose of arresting hemorrhage from bleeding gastric or duodenal ulcers we developed, in 28 high-risk patients, a new method of endoscopic local injection of epinephrine (1:10,000) followed by electro-hydro monopolar coagulation and injection of Polidocanol (1%). Nine patients had signs of shock at the time of admission. The average blood requirements were 3.9 units in the first 24 hours. All patients had important factors militating against surgery, namely age and serious primary disease. In 26 out of 28 patients (92.8%) hemostasis was accomplished during endoscopy. Three patients (10.7%) rebled within the first 36 hours, requiring emergency surgery. Thus definitive hemostasis was achieved in 23 patients (82.1%). There were no complications as a result of endoscopic treatment.
为了止住胃或十二指肠溃疡出血，我们对28例高危患者研发了一种新的内镜局部注射肾上腺素（1:10,000），随后进行单极电凝和注射聚多卡醇（1%）的方法。9例患者入院时出现休克体征。前24小时的平均输血量为3.9单位。所有患者均有不利于手术的重要因素，即年龄和严重的原发性疾病。28例患者中有26例（92.8%）在内镜检查期间实现了止血。3例患者（10.7%）在最初36小时内再次出血，需要进行急诊手术。因此，23例患者（82.1%）实现了确定性止血。内镜治疗未出现并发症。
