Octreotide vasopressin treatment of esophageal stomach analysis of 82 cases of variceal bleeding.doc

 PAGE \* MERGEFORMAT 9 Octreotide vasopressin treatment of esophageal stomach analysis of 82 cases of variceal bleeding Study: Show All Peng Peng Hongjun Zhang Shurong [Abstract] Objective To observe the octreotide and vasopressin treatment of esophageal variceal hemorrhage patients. Methods 82 patients were divided into 2 groups, of which 44 cases of octreotide treatment group, the first intravenous injection with octreotide 0.1mg (many 5 minutes, then 25 ~ 30ug / h to maintain, vasopressin control group 38 cases, vasopressin 18 ~ 20u infusion to 0.2 ~ 0.4u/min maintained. two groups selected patient profiles similar to comparable. the treatment group were cured, 29 cases, effective in 6 cases, the total efficiency of 79%, 9 cases, accounting for 21%. the control group, 21 cases markedly effective, 7 cases, the total efficiency of 74%, 10 cases of invalid , accounting for 26%. the efficiency of the two groups were compared, the total effective rate, there was no significant difference. Conclusions The comparison between the two of octreotide and vasopressin treatment of esophageal and gastric variceal bleeding was no significant difference in bleeding rates were slightly slightly better than the latter, but for middle-aged and old patients with cardiovascular disease should be the first choice of somatostatin octreotide class. [Keywords:] octreotide pituitrin vegetarian tube, treatment of bleeding gastric varices Esophageal variceal bleeding is a serious complication of liver cirrhosis, oncoming fierce, large amount of bleeding, the mortality rate of up to 50%, thus, esophagus, variceal hemorrhage is the focus of medical research subjects. With the current treatment research and development and continuous improvement of endoscopic therapy, the disease control rate of bleeding has been markedly improved. But for the primary hospitals by the endoscopic technique because of the constraints on drug treatment only to find the ideal treatment. 2000-2007