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食管静脉曲张:使用可弯曲纤维胃镜在无全身麻醉情况下对注射硬化疗法的评估。

Oesophageal varices: evaluation of injection sclerotherapy without general anesthesia using the flexible fibreoptic gastroscope.

作者信息

Kirkham J S, Quayle J B

出版信息

Ann R Coll Surg Engl. 1982 Nov;64(6):401-5.

Abstract

A technique of injecting oesophageal varices through a flexible fibreoptic gastroscopic is described and its value in controlling haemorrhage and eradicating varices in 34 patients is considered prospectively. Twenty-five per cent of the patients re-bled during the first emergency admission after injections, but control was achieved in all. Subsequent re-bleeding occurred in 46% and varices were ultimately eradicated in 59%. It ic concluded that the procedure is associated with fewer serious complications compared with rigid oesophagoscopic techniques and may be as effective.

摘要

本文描述了一种通过柔性纤维光学胃镜注射食管静脉曲张的技术,并前瞻性地评估了其在控制34例患者出血和消除静脉曲张方面的价值。25%的患者在首次注射后的紧急入院期间再次出血,但最终均实现了出血控制。随后,46%的患者再次出血,59%的患者静脉曲张最终得以消除。得出的结论是,与硬质食管镜技术相比,该操作的严重并发症较少,且可能同样有效。

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本文引用的文献

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The electroencephalograph in liver disease.肝脏疾病中的脑电图
Lancet. 1957 Nov 2;273(7001):867-71. doi: 10.1016/s0140-6736(57)90005-3.
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Fibreoptic injection of oesophageal varices.纤维内镜下食管静脉曲张注射术
Br Med J. 1979 Sep 29;2(6193):766-7. doi: 10.1136/bmj.2.6193.766.

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