三腔二囊管压迫治疗食管胃底静脉曲张破裂出血的临床研究.docxVIP

三腔二囊管压迫治疗食管胃底静脉曲张破裂岀血的临床研 赵素珍（江苏省昆山市第二人民医院消化内科215300） 【摘要】目的 探讨三腔二囊管压迫治疗食管胃底静脉曲张破裂出血的疗效。 方法 回顾性分析我科于2008年3月?20口年8月收治的食管胃底静脉曲张破 裂出血的患者20例，按照药物治疗的疗效分为2组：药物治疗组：给予一般治 疗及生长抑素（施他宁250-500ug/h）持续静脉微泵。三腔二囊管压迫治疗组： 经药物治疗效果不佳的，予联合三腔二囊管压迫止血治疗。结果药物治疗组止 血成功率80%； 血成功率80%； 三腔二囊管压迫治疗组止血成功率100%, 但三腔二囊管压迫治 疗组不良反应较药物治疗组高。结论 三腔二囊管压迫治疗食管胃底静脉曲张破 裂出血方法简单、效果确切，能够减少死亡率，提高患者生活质量，值得在基层 进一步推广使用。 【关键词】三腔二囊管 压迫治疗 食管胃底静脉曲张破裂出血 【屮图分类号】R969 【文献标识码】A 【文章编号】1672-5085 (2013) 37-0054-02 [Abstract] The clinical study of SengstakervBlakemore tube in the treatment of varicosity burst bleeds of bottom stomach esophagus Zhao Suzhen (Department of Digestive, Second People’s Hospital of Kunshan, Jiangsu 215300 ) 【Abstract] Objective To investigate the SengstakervBlakemore tube in the treatment of varicosity burst bleeds of bottom stomach esophagus . Methods 20 patients in March, 2008 to August 2011 were etrospective analysis.according to the drug treatment 20 patients were divided into two groups: the drug therapy group: to give general treatment and growth inhibition change (250-500 ug/h) continued intravenous micro pump. Sengstaken-Blakemore tube oppression treatment group: the drug therapy effect is not good, use Sengstaken-Blakemore tube treatment. Results the drug therapy group hemostatic rate was 80%; Sengstaken-Blakemore tube oppression rate was 100% in treatment group stop bleeding, but SengstakernBlakemore tube oppression treatment group have adverse reaction Conclusion Sengstaken-Blakemore tube treatment stomach esophagus oppression of varicosity burst bleeds method is simple, and the effect is exact, can reduce mortality, improve the quality of life of the patients, and to further promote the use in the primary. 【Key words] Sengstaken-Blakemore tube Oppression treatment The varicosity burst bleeds of bottom stomach esophagus 食管胃底静脉曲张破裂出血是肝硬化门脉高压最常见、最凶险的并发症，也 是上消化道大出血的最常见病因，其病死率高。传统的三腔二囊管在食管胃静脉 曲张人岀血的治疗中有着简便、易操作及止血效果确切等独特的优点，能够显著 提高食管胃静脉曲张大出血的成功率，同时能够为食管胃静脉曲张大出血的后续 治疗赢得吋间[1-3]o我科于2008年3月?20□年8月共收治食管胃