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目的:评价诺森(潘托 拉唑)静脉注射治疗上消化道出血的疗效。方法:对48例上消化道出血病人静脉注射诺森,48h内进行内镜检查判断出血是否停止。失血量少于1000 ml12例诺森40 mg/d;失血量1000 ml-1500 ml 27例,失血量超过1 500ml 9,诺森80 ml/d,连用2d,后改为40 mg/d口服。肝硬化者加用善宁0.2mg/d静滴。全部病例均不应用其他止血药。结果:诺森止血有效率依次是:急性胃粘膜病变100％(8/8),消化性溃疡95.83％(23/24);肝硬化并消化道出血87.5％(14/16)。结论:诺森静脉注射治疗上消化道出血2d疗法内镜下完全止血率93.75％(45/48)。
PURPOSE: To evaluate the efficacy of Northropion (pantoprazole) intravenous injection in the treatment of upper gastrointestinal bleeding. Methods: 48 cases of upper gastrointestinal bleeding patients intravenous injection of Northrend within 48h endoscopy to determine whether the bleeding stopped. Blood loss of less than 1000 ml 12 cases of Northropzil 40 mg / d; blood loss of 1000 ml-1500 ml in 27 cases, blood loss of more than 1 500ml 9, Northrend 80 ml / d, once every 2d, later changed to 40 mg / d orally. Plus cirrhosis with good Ning 0.2mg / d intravenous infusion. No other hemostatic agents were used in all cases. Results: The effective rates of Northroping hemostasis were as follows: acute gastric mucosal lesion 100% (8/8), peptic ulcer 95.83% (23/24); cirrhosis and gastrointestinal hemorrhage 87.5% (14/16). Conclusion: The complete hemostasis rate of Endostar by endoscopic injection of Noroson intravenous injection for 2 days was 93.75% (45/48).