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Purastat作为急性食管静脉曲张出血的辅助治疗选择:一例报告

Purastat as an Adjunct Treatment Option in Acute Esophageal Varices Bleeding: A Case Report.

作者信息

Hassan Imran H, Elphick David, Al-Rifaie Ammar

机构信息

Gastroenterology, Chesterfield Royal Hospital, Chesterfield, GBR.

出版信息

Cureus. 2023 Jul 30;15(7):e42712. doi: 10.7759/cureus.42712. eCollection 2023 Jul.

Abstract

Esophageal varices are dilated submucosal esophageal veins that connect the portal and systemic circulations. Bleeding esophageal varices is a well-recognized complication of liver cirrhosis.It is known that in active variceal bleeding, treatment needs to be started promptly. Treatments comprise band ligation, sclerotherapy, removable stent placement, balloon tamponade, and transjugular intrahepatic portosystemic shunt (TIPS).We report a case in which hemodynamic stability can be maintained with the use of Purastat to control bleeding.

摘要

食管静脉曲张是连接门静脉和体循环的扩张的食管黏膜下静脉。食管静脉曲张破裂出血是肝硬化一种公认的并发症。众所周知,在活动性静脉曲张出血时,需要立即开始治疗。治疗方法包括套扎术、硬化疗法、可移除支架置入、气囊压迫和经颈静脉肝内门体分流术(TIPS)。我们报告了一例使用Purastat控制出血从而维持血流动力学稳定的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c9/10387821/938dec9cef65/cureus-0015-00000042712-i01.jpg

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