71例肝硬化非静脉曲张破裂出血的内科治疗

目的：研究71例肝硬化非静脉曲张破裂出血的特点和内科治疗效果。方法：对住院经急诊内镜确诊的71例肝硬化非静脉曲张破裂出血患者的临床资料进行总结分析。结果：非静脉曲张破裂出血占全部肝硬化上消化道出血的32．3％。以消化性溃汤和门脉高压性胃病并出血为主要原因者占80．3％；以中等量出血为多，占46．5％。出血量的多少和肝功能Child=Pagh分级有关。内科综合治疗的止血率为88．7％。结论：非静脉曲张破裂出血在肝硬化上消化道出血中占有相当比例。急诊内镜检查对明确出血病因有重要意义。内科综合治疗有较好的止血效果。

The Medical Treatment for the 71 Patients Suffered from Cirrbosis and Unveil Bent Broken Bleeding

Purpose: Study for the medicine character of broken bleeding of the unveil bent.also the medical cure effects. Methods: Making synopsis and analysis of the medical materials of the 71 patients suffered from cirrhosis and unveil bent broken bleeding. Results: Unveil bent broken bleeding ac-counts for 32.3 % of the whole cirrhosis and up-alimentary bleeding, The digestive ulcer and portal-high-pressure gasrric illness accompanying with bleeding are the main cause, taking account of 80.3% , Middle bleeding amount take the main proportion cf 46.5% . The bleeding amount have some relationship with the grade of 15 Child-Pagh of livers ability.The anti-bleeding ratio of medical complicated cure is 88.79% . Conclusion: The unveil bent broken bleeding takes quite a part in cirrhosis and up alimentary tract bleeding emergency endoscopes inspection has great significance to determine the cause of bleeding complicated cure has better result of anti-bleeding.