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文献报告肝硬变患者有食道静脉曲张者近70％,其中约50％合并出血,而静脉曲张出血者死亡率极高,约在40～80％。大西久仁彦等报告115例肝硬变食道静脉曲张破裂出血者,应用三腔管压迫止血及静滴垂体后叶素等保守疗法止血者22.6％在两周内死亡;而紧急手术则因患者出血时金身情况甚差,特别是肝功能恶化者效果更差。近年来国外报告应用β-肾上腺素受体阻滞剂心得安预防肝硬变门脉高压所致的上消化道再出血取得初步效果,现综述如下:
Reported in the literature of cirrhosis patients with esophageal varicosis nearly 70%, of which about 50% with bleeding, and bleeding varicose death rate is very high, about 40 to 80%. Akihito Nishikido, etc. reported 115 cases of liver cirrhosis esophageal variceal bleeding, application of three-lumen tube hemostasis and intravenous infusion of pituitrin and other conservative treatment hemostasis 22.6% died within two weeks; and emergency surgery due to bleeding patients Gold body condition is very poor, especially worse liver function worse. In recent years, foreign reports of β-adrenergic receptor blocker propranolol prevention of portal hypertension caused by upper gastrointestinal rebleeding achieved initial results are summarized as follows: