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作者对Texas健康科学中心积累资料的初步分析表明,在2/3食管静脉曲张出血停止后做择期分流手术的死亡率为10%,而施行急诊门腔分流手术的死亡率达30%.应设法制止出血再进行择期分流手术,可以提高生存率.为此,作者将初期输注加压素的速率提高一半,即每小时60u,初步试用20例,成功率达80%.本文报道作者比较用正常和大剂量加压素制止食管静脉曲张出血的结果,前后(1978~1982年和1983~1987年)各4(1/2)年时间,在9年中共观察200例,平均年龄50岁(28~71岁),男女之比为
A preliminary analysis of the data accumulated by the Texas Health Sciences Center showed that the mortality rate of elective shunt was 10% after 2/3 esophageal variceal bleeding had stopped, and 30% for emergency shunt surgery. To stop bleeding and then elective shunt surgery, can improve the survival rate .Therefore, the author of the initial infusion of vasopressin rate increased by half, that is, 60u per hour, the initial trial of 20 cases, the success rate of 80% Normal and high-dose vasopressin bleeding esophageal varices results, before and after (1978 ~ 1982 and 1983 ~ 1987) each 4 (1/2) years, a total of 200 observed in 9 years, the average age of 50 years ( 28 to 71 years old), male to female ratio