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王慧中,徐永泉,王纯正.经内窥镜注入复方五倍子液治疗上消化道出血240例临床分析[J].,1986,(10):599-601,581
经内窥镜注入复方五倍子液治疗上消化道出血240例临床分析
Clinical Analysis on the Effect of Liq.Galla Chinensis Composit.Given Trans-endoscopically in Treating 240 Upper Gastrointestinal Bleeding Patients
  
DOI:
中文关键词:  上消化道出血  内窥镜检查  复方五倍子液  局部止血  止血率  食管癌  出血病  成功率  局部注药  副作用
英文关键词:
基金项目:
Author NameAffiliation
Wang Huizhong 中国医科大学附属二、三院功能科 
Xu Yongquan 中国医科大学附属二、三院内科 
Wang Chunzheng 中国医科大学附属二、三院功能科 
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中文摘要:
      用复方五倍子液经内窥镜注入局部止血治疗上消化道出血240例,早期止血率达99.6%。一次注药止血成功者237例,止血成功率98.7%,其中急诊上消化道大出血70例,立即止血者69例占98.6%,一次注药止血成功率为95.7%。本药对消化性溃疡出血的疗效最好,局部使用无任何副作用。
英文摘要:
      Liq.Galla chinensis composit.,a transparent brown solution,is composed of Galla chinensis.Terminalis chebula and alum.On animal model of experimental ulcer,it was showed that this solution could markedly decrease the amount of hemorrhage and shorten the bleeding time.Experiments on human beings proved that this solution could also reduce the amount of fasting gastric secretion and the gastric acidity. This solution was administered to the surface of the bleeding lesion through the conduit of endoscope to treat 240 cases suffering from upper gastrointestinal hemorrhage.The immediate hemostatic rate was 99.6%, 237 cases were completely cured,and the hemostatic rate after single dose was 98.7%.Among the above cases,there were 70 patients of critical upper gastrointestinal massive hemorrhage,69 cases of immediate hemostasis after local application of 5~10 ml of the drug with the hemostatic rate of 98.6%,67 cases of which had successful hemostasis after one dose,the hemostatic rate after one dose was 95.7%.This solution was proved to be most effective in the treatment of hemorrhage caused by peptic ulcer,but not so effective in that of gastric carcinoma.It had no side-effect at all.The main principle of Galla chinensis and Terminalis chebula is tannic acid which is astringent in nature and has a powerful effect in hemostasis.
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