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使用油酸乙醇胺对食管静脉曲张进行注射硬化治疗。

Injection sclerotherapy of esophageal varices using ethanolamine oleate.

作者信息

Hedberg S E, Fowler D L, Ryan R L

出版信息

Am J Surg. 1982 Apr;143(4):426-31. doi: 10.1016/0002-9610(82)90191-x.

DOI:10.1016/0002-9610(82)90191-x
PMID:6978620
Abstract

Fifty-three patients with upper gastrointestinal bleeding and proven esophageal varices were treated by intravascular injection sclerotherapy of the varices using a mixture of ethanolamine oleate, bovine thrombin and cephalothin. An intraesophageal balloon was used to impede craniad flow during the injection. Except in three patients who failed to stop bleeding from nonvariceal lesions, sclerotherapy was 94 percent successful in controlling bleeding. The mortality rate in sclerotherapy patients with ascites was 25 percent compared with 54 to 75% reported elsewhere. There has been no rebleeding from varices after the third treatment week in patients followed up for up to 14 months.

摘要

53例确诊为食管静脉曲张且出现上消化道出血的患者,接受了使用油酸乙醇胺、牛凝血酶和头孢噻吩混合液对静脉曲张进行血管内注射硬化疗法的治疗。注射过程中使用食管内气囊来阻止血液向头端流动。除3例因非静脉曲张性病变出血未能止血外,硬化疗法控制出血的成功率为94%。有腹水的硬化疗法患者死亡率为25%,而其他地方报道的死亡率为54%至75%。随访长达14个月的患者在第三次治疗周后未再出现静脉曲张出血。

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1
Injection sclerotherapy of esophageal varices using ethanolamine oleate.使用油酸乙醇胺对食管静脉曲张进行注射硬化治疗。
Am J Surg. 1982 Apr;143(4):426-31. doi: 10.1016/0002-9610(82)90191-x.
2
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引用本文的文献

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A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy.难治性巨大阴道壁海绵状血管瘤伴出血 1 例,采用硬化疗法成功治疗。
Am J Case Rep. 2023 Apr 19;24:e939474. doi: 10.12659/AJCR.939474.
2
Role of paraoesophageal collaterals and perforating veins on outcome of endoscopic sclerotherapy for oesophageal varices: an endosonographic study.食管旁侧支循环和穿支静脉在食管静脉曲张内镜硬化治疗结局中的作用:一项内镜超声研究
Gut. 1996 May;38(5):759-64. doi: 10.1136/gut.38.5.759.
3
A case of noncardiogenic pulmonary edema by ethanolamine oleate.
油酸乙醇胺致非心源性肺水肿1例。
Korean J Intern Med. 1994 Jul;9(2):125-7. doi: 10.3904/kjim.1994.9.2.125.
4
A clinical controlled trial of endoscopic sclerotherapy for repeated esophageal variceal bleeding.内镜下硬化剂治疗反复食管静脉曲张出血的临床对照试验
Gastroenterol Jpn. 1989 Feb;24(1):70-4. doi: 10.1007/BF02774874.
5
Endoscopic injection sclerotherapy in patients with bleeding esophageal varices: a retrospective analysis.内镜下注射硬化疗法治疗食管静脉曲张出血患者:一项回顾性分析
Korean J Intern Med. 1990 Jan;5(1):5-14. doi: 10.3904/kjim.1990.5.1.5.