Transcription of 식도 정맥류 출혈의 치료 - gie.or.kr
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식도 정맥류 출혈의 치료 - gie.or.kr
The Korean Journal of Gastrointestinal Endoscopy Room C .. Management of Esophageal Variceal Bleeding Soon Koo Baik, , Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea 1 3 , 6 12 . 7.. 24 80% , 2.. 2 19 40% 1) : . 1-3.. F1 ( , 8 g/dl ), F2 ( ), F3 ( ) , . , . Li ( ), Lm ( , . 1,3,4. ), Ls ( ) , . Cw ( ), Cb ( ) . RCS (Red Color , . 3-6. Sign, / ) . , ( 7 ) . norflo- 50% xacin (400 mg bid) ciprofloxacin . , , quinolone ceftriaxone (1. 1,7,8 1,2,7. 2 30 40% . , g/day) . , .. terlipressin somatostatin .. Terlipressin 2 mg 4 . , , 1 mg 4. 1.. Somatostatin 250 mcg . - 5% 250 mcg . 1,3. , . 2 3 , 2) : . Child A, B 1 2 12 . 1,7.. Child C (Endoscopic sclerotherapy), . ( , , (Endoscopic variceal ligation:EVL), cyanoa- ) crylate, fibrin thrombin (tissue 1,5,7.
식도 정맥류 출혈의 치료 백순구 178 The Korean Journal of Gastrointestinal Endoscopy 전증 및 비장색전증 등 전신의 색전술이 발생할 수 있다.7 3) 내시경 치료 실패시 치료법: 신속하게 약물 및 내시경 치
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