内镜下注射治疗非食道静脉曲张出血的临床研究

为了观察内镜下注射治疗对非食道静脉出血的疗效，该文对１９９４年１月－１９９８年１月用５％鱼肝油酸钠硬化治疗过的非食道静脉曲张出血病人４２例进行了研究。其中３２例为溃疡病，２例为复合溃疡或多发溃疡，５例为急性胃粘膜病变，１例为贲门粘膜撕裂，１例为Ｄｉｅｕｌａｆｏｙ病，１例为胃癌。出血方式：喷血或搏动出血３例，渗血３７例，暂无出血的血管断端和血凝块４例。

CLINICAL INVESTIGATION OF ENDOSCOPIC INJECTION FOR NONVARICEAL UPPER GASTROINTESTINAL HEMORRHAGE

In order to investigate the effects of endoscopic injection for nonvariceal upper gastrointestinal hemorrhage,We studied 42 paients who had been treated with local injection of 5% sodium morrhuate under endoscopy from January 1994 to Januray 1998.There were 32 cases of peptic ulcer,two of coexistent ulcers or multiple ulcers,five of acute gastric mucosal erosino,one of mallory-weiss syndrome ,one of Dieulafory disease,one of gastric carcinoma.The severity of hemorrhage was as follows:spurting or pulsation,three cases (7.1%);oozing,37 cases (88.1%);nonbleeding visible vessel and clot,four(9.5%).After local injection of 5% sodium morrhuate,the hemorrhage in 39 case (92.9%)was stopped.Hemostatic rate immediately was 73.8%(31 cass )and 81.0%(34 cases) in 72 hours. No obvious complications was found after the injection .This results suggest endoscopic injection for nonvariceal upper gastrointestinal hemorrhage was effective and safe.