肝硬化伴发上消化道出血47例临床观察

目的探讨肝硬化伴发上消化道出血常见病因及临床治疗效果。方法回顾分析2009年8月至2011年4月诊治的肝硬化伴发上消化道出血47例患者临床资料。结果经胃镜检查出血原因以食管静脉曲张破裂为主,占53.19%(25/47)。其次为门脉高压性胃病、消化性溃疡,分别占19.15%(9/47)、12.77%(6/47)。47例患者总止血有效率89.36%(42/47)。结论肝硬化患者上消化道出血原因主要有食管静脉曲张破裂、门脉高压性胃病、消化性溃疡等,及时给予综合治疗可有效控制出血、降低病死率。

Clinical analysis on upper gastrointestinal hemorrhage in 47 patients with liver cirrhosis

Objective To analyze the reasons of upper gastrointestinal bleeding in patients with liver cirrhosis and its clinical effect of treatment.Methods The clinical data of 47 patients with liver cirrhosis and upper gastrointestinal hemorrhage during August,2008 and April,2011 were retrospectively reviewed and analyzed.Results Gastroscopy inspection for bleeding from varicosis of esophagus in 25 cases,accounting for 53.19 %;gastric bleeding due to portal hypertension in 9 cases,accounting for 19.15 % and hemorrhage due to peptic ulcer in 6 cases accounted for 12.77 %.After comprehensive treatment,the bleeding in 42 of 47 patients had been stopped,with successful rate of 89.36%.Conclusion The main etiological causes of upper gastrointestinal hemorrhage include burst of esophagus varicosity,portal hypertension and peptic ulcer and so on.Timely comprehensive treatment can successfully stop bleeding and reduce the mortality.