Ms.Huang (preudonym)muaj keeb kwm ntawm daim siab cirrhosis tau ntau xyoothiabtau dhau ob zaug Endoscopic Variceal Ligation (EVL) vim los ntshav variceal esophageal (EVB).Tom qab tso tawm, Ms.Huang tsis tau them nyiaj txaus los saib xyuas nws tus mob thiab tsis tau tshuaj xyuas nws lub plab zom mov sai.
Tsis ntev los no, Ms.Huang feem ntau ntsib kiv taub hau, mob plab, qhov ncauj qhuav thiab iab, qab los noj mov, thiab pw tsis tsaug zog thaum hmo ntuj. ntawm Jiangxi University of Traditional Chinese Medicine Affiliated Hospital for inpatient treatment.Tom qab nkag mus, cov kev ntsuam xyuas thiab kev ntsuam xyuas tau raug txhim kho, suav nrogmob gastroscopy, uas tau lees paubmuaj varicose leeg nyob rau hauv cov hlab pas thiab gastric fundus.
Cov khoom siv kho mob rau kev kuaj mob gastroscopy
Cov duab nthuav tawm hauv gastroscopy
Tom qab kev phaismob gastroscopythiab txiav txim tawm kev phais contraindications raws li Ms.Huang tus mob thiab cov tsos mob, Xie Mingjun, Tus Lwm Thawj Coj ntawm Digestive Department ntawm Jiangxi University of Traditional Chinese Medicine Affiliated Hospital, tau sib txuas lus nrog tus neeg mob thiab lawv tsev neeg thiab soj ntsuam kev pheej hmoo. cov neeg hauv tsev neeg tau pom zoo kom raugesophageal variceal ligation (EVL).
Xie Mingjun siv COOK rau qhov txuas ligation ntaus ntawv rau kev kho mob ligation, nrog rau tag nrho cov ligations, thiab cov txheej txheem phais tau zoo.Tom qab kev phais, coj tus neeg mob rov qab mus rau pawg ntseeg thiab qhia lawv.yoo mov rau 24-48 teev,ces noj kua los yog semi kua zaub,maj mam hloov mus rau cov khoom noj mos, thiab ua tib zoo saib xyuas tus neeg mob qhov kev hloov pauv.
Esophageal variceal ligation (EVL)
Esophageal variceal ligation (EVL)hais txog kev siv lub nplhaib roj hmab elastic kom ligate lub hauv paus ntawm varicose leeg nyob rau hauv kev taw qhia ntawmib qho endoscope, ua rau ischemia, necrosis, thiab detachment, ua rau varicose leeg occlusion, tswj active variceal los ntshav, thiab sai tshem tawm varicose leeg.Esophageal variceal ligation (EVL)muaj qhov zoo ntawmtsawg kawg kev raug mob,kev phais ceev rov qab, thiabkev nyab xeeb siab.Nws muaj txiaj ntsig zoo rau kev kho mob xwm txheej ceev lossis xaiv kev kho mob ntawm cov neeg mob uas muaj cov kab mob esophageal varices thiab yog ib txoj hauv kev zoo los tiv thaiv txoj hlab pas variceal los ntshav.
Nws tau tshaj tawm tiasesophagogastric varicose leegyog ib ntawm covlub ntsiab manifestations of portal ntshav siab, thiab 95% ntawm portal hypertension yog tshwm sim los ntawm ntau yam ua rau cirrhosis.Qhov feem ntaumob hnyavntawm esophagogastric varicose veins yogrupture thiab los ntshav.Thaum tus neeg mob tau los ntshav los ntawm txoj hlab pas thiab plab varices, los ntshav yuav tshwm sim sai thiab ntau ntau.Lub sijhawm no, tus neeg mob.Tej zaum yuav tshwm sim hypotension hnyav los yog hypovelemic shock, tej zaumtxawm cuam tshuam lawv lub neej.Yog li ntawd, yog cov neeg mob uas muaj daim siab cirrhosiscov quav dubthiabntuav ntshav, lawv yuav tsum nrhiav kev kho mob sai.
Post lub sij hawm: May-10-2024