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目的 评价内窥镜下硬化剂注射治疗儿童门脉高压性食管静脉曲张的疗效。方法 回顾１９９６～１９９９ 年５ 例１１ 次的硬化剂注射。其中４ 男１ 女，平均年龄６．２ 岁。４ 例在外院行脾切除，２例脾切除后复发出血。１ 例行分流术，１ 例行食管下端曲张静脉断流术。５ 例均因出血经药物治疗控制后行内窥镜下硬化剂注射治疗。结果 ４ 例注射２ 次，１ 例注射３ 次，出血控制，近期（治疗结束后１ 个月内）总止血率为１００％ 。结论 硬化剂注射治疗门脉高压性食管静脉曲张破裂出血，在儿童应为可行的疗法。
Objective To evaluate the efficacy of endoscopic sclerotherapy for portal hypertension in children with esophageal varices. Methods Five cases of hardener injection were reviewed from 1996 to 1999. Among them, 4 males and 1 females, the average age of 6.2 years old. Four patients underwent splenectomy in the hospital and two had recurrent hemorrhage after splenectomy. 1 routine shunt, 1 case of lower esophageal varicose vein disconnection. All 5 patients received endoscopic sclerotherapy after hemorrhage was controlled by drug treatment. Results 4 cases were injected twice, 1 case injected 3 times, bleeding control, the recent (1 month after the end of treatment) the total bleeding rate was 100%. Conclusion Sclerotherapy for portal hypertension in patients with esophageal variceal bleeding should be feasible in children.