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目的探讨内科药物结合内镜下止血治疗肝硬化食管、胃底静脉曲张破裂出血的治疗效果。方法回顾性分析了86例经我科治疗的肝硬化食管、胃底静脉曲张破裂出血患者。结果 86例患者中经内科药物或配合应用内镜下止血治疗,出血停止,治愈78例,其中内镜下成功止血23例,成功率90.7%,经内科治疗后止血效果差或再出血6例,转外科手术治疗,2例因肝功差、出血多抢救无效死亡。结论内科药物结合内镜下止血是治疗肝硬化食管、胃底静脉曲张破裂出血的有效方法,花费低,创伤小。
Objective To investigate the therapeutic effect of internal medicine combined with endoscopic hemostasis in the treatment of esophageal and variceal bleeding of liver cirrhosis. Methods A retrospective analysis of 86 cases of liver cirrhosis esophageal and variceal bleeding patients. Results Among the 86 patients, 78 cases were cured by internal medicine or combined with endoscopic hemostasis. Among them, 23 cases were successfully healed by endoscopic treatment, with a success rate of 90.7%. The hemostatic effect was poor or rebleeding occurred in 6 cases after medical treatment , Transferred to surgical treatment, 2 patients died of poor liver function, bleeding more rescue invalid. Conclusion Internal medicine combined with endoscopic hemostasis is an effective method for the treatment of esophageal and variceal bleeding due to cirrhosis. It is low in cost and less traumatic.