肝硬化合并上消化道出血42例临床分析

目的探讨肝硬化合并上消化道出血的临床特点及原因,以指导临床正确处理。方法回顾总结近五年42例肝硬化合并上消化道出血的住院病人病史。结果急诊胃镜检查发现:食道胃底静脉曲张破裂出血者42.9%(18/42),门脉高压性胃病出血45.2%(19/42),消化性溃疡7.1%(3/42)。结论肝硬化合并上消化道出血的病因中,非曲张静脉出血(包括门脉高压性胃病、消化性溃疡)占有相当高的比例,应引起足够的重视。

Clinical analysis of 42 patients with cirrhosis and upper gastrointestinal hemorrhage

Objective To study the cause of cirrhosis combined with hemorrhage of digestive tract.for a correct treatment.Methods We reviewed 42 cases patients with gastrointestinal hemorrhage with cirrhosis of liver from 1999 to 2004.Results According to the findings of 42 cases detected by acute gastric endoscope,the occurrence rates of bleeding from esophagealvarices gastric fundal varices,portal hypertensive gastropathy and peptic ulcer were 42.9%(18/42),47.6%(20/42),and 9.5%(4/42).Conclusion Among the causes of cirrhosis combined with hemorrhage of digestive tract,non-variceal hemorrhage including portal hypertensive gastropathy and peptic ulcer occupies a large percentage,which should gain much attention.