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应用奥曲肽治疗42例上消化道大出血病人,取得了良好效果,报告如下。1 资料与方法1.1 病例选择 42例均为急诊上消化道大出血住院病人,均经胃镜检查证实。男30例,女12例;年龄28～72岁,平均46岁。其中,肝炎后肝硬化30例,酒精性肝硬化3例,肝炎肝硬化合并酒精性肝硬化3例。按Child分级:A级16例,B级14例,C级6例。另外胃溃疡2例,十二指肠球部溃疡4例。临床表现为大量呕血或便血,出血量为1000～2500ml,平均1600ml,伴有血压降低、心率增快。
Application of octreotide treatment of 42 cases of upper gastrointestinal bleeding, and achieved good results, the report is as follows. 1 Materials and Methods 1.1 Case Selection 42 cases were emergency upper gastrointestinal bleeding hospitalized patients were confirmed by gastroscopy. 30 males and 12 females; aged 28 to 72 years, mean 46 years old. Among them, 30 cases of post-hepatitis cirrhosis, alcoholic cirrhosis in 3 cases, hepatitis cirrhosis with alcoholic cirrhosis in 3 cases. According to Child classification: A grade in 16 cases, B grade in 14 cases, C grade in 6 cases. In addition, 2 cases of gastric ulcer, duodenal ulcer in 4 cases. Clinical manifestations of massive vomiting or blood in the stool, the amount of bleeding is 1000 ~ 2500ml, an average of 1600ml, accompanied by lower blood pressure, heart rate faster.