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以注射硬化剂治疗食管静脉曲张出血已逐渐普遍.某些研究已证明其在防止出血复发方面是有效的,且优于内科处理.此种治疗后的即刻不良反应有胸骨后痛、发热和一过性吞咽困难,这些反应一般在24小时内消失.较严重的併发症如食管穿孔并不常见.长期的疗效尚不了解.在作者的随访病人中发现有併发永久性吞咽困难者,经X线造影和内窥镜检证实有食管下段狭窄.为确定反复注射硬化剂对食管之影响,作者对22例病人作了前瞻性研究.全部病人均经证实有食管静脉曲张出血,但近期无活动性出血,一周以内没经三腔管压迫止血者.
The use of injection sclerosing agents for esophageal variceal bleeding has become commonplace and some studies have demonstrated that it is effective in preventing recurrence of bleeding and is superior to medical treatment. Immediate adverse reactions after such treatment include sternal pain, Transient dysphagia, these reactions generally disappear within 24 hours.More severe complications such as esophageal perforation is not common long-term efficacy is not understood in the follow-up of the patients were found in patients with persistent dysphagia, X-ray angiography and endoscopy confirmed the lower esophageal stenosis in order to determine the impact of repeated injection of sclerosant on the esophagus, the authors of 22 patients were prospectively studied in all patients were confirmed esophageal variceal bleeding, but the recent No active bleeding within a week without the three-tube pressure to stop bleeding.