Endoscopic ligation of esophageal varices Cirrhosis Clinical Factors.docVIP

 PAGE \* MERGEFORMAT 6 Endoscopic ligation of esophageal varices Cirrhosis Clinical Factors Author: Zhan-jun Zou Chun-Yu Zhong-Health From December 1999 to December 2008, using endoscopic ligation (EVL) treatment of esophageal variceal bleeding in patients with liver cirrhosis 323 cases, of which we have complete data of 123 patients, its retrospective systematic analysis of factors affectingResearch . Summarized below. A clinical data 1.1 The source of 123 cases of EVB cases, the male 89 cases, female 34 cases, aged 25-66 years, mean 47.7 years of age. According to clinical manifestation, laboratory examination, B-chao, endoscopy diagnosed as hepatitis, cirrhosis of the liver, etc., of which 31 cases of hepatitis C, cirrhosis of the liver and the rest of hepatitis B cirrhosis of the liver. All patients had varying degrees of esophageal varices. EV level of classification adopted by the Chinese Society of Digestive Endoscopy of esophageal varices Endoscopic diagnosis and treatment of standardized pilot program 〔 1〕 divided into mild (G Ⅰ ), moderate (G Ⅱ ), severe (G Ⅲ ) 3. Of which 111 cases of severe, moderate in 12 cases. Were accompanied by a red startled, of which 44 cases with gastric varices (gastric varices, GV), acute bleeding or recent hemorrhage (2 weeks) 64 cases, the rest for the past bleeding. Liver function Child-Pugh classification A-46 cases, B grade in 41 cases, C grade 36 cases. 1.2 preoperative fasting preoperative preparation and custody of 6-12h, prepare the patient’s ideological work, to dispel their fears, and check the routine blood test. Preoperative, intraoperative and the end of the measurement of blood pressure, heart rate, breathing. While establishing intravenous access, be rehydration. 1.3 Methods Fujinon XX-type endoscopy and Olympus GUF XQ240-type endoscopy, Wilsin Cook 6 serial ligation device. Routine gastroscopy in patients with first observe the EV range, extent and red startled and active bleeding. According to endo