肝硬变腹水合并上消化道出血

目的为了对肝硬变腹水合并上消化道出血有进一步认识，总结了近3a157例肝硬变腹水合并上消化道出血者57例及其并发症．方法根据诊断标准，经统计学卡方验证，将出血者（57例）与无出血者（100例）合并脾功能亢进、消化性溃疡、自发性腹膜炎、肝昏迷及肾功能减退进行对照．结果出血组的肾功能减退（68．4％）及肝昏迷（26．3％）发生率明显高于未出血者（19．0％和7．0％，P＜0．01）．结论肝硬变腹水出现上消化道出血者，再合并其他并发症的发生率较未出血者高为明确出血原因及部位采取相应的治疗措施，应及时进行急诊内镜检查．

Study on the upper gastrointestinal bleeding in ascitic liver cirrhosis

AIM In order to study the upper gastrointestinal bleeding and the severe mpliodions in ascitic liver cirrhosis.METHODS Of 157 cases of liver cirrhotic ascites, 57 cases had upper petrointestinal bleeding, 100 cases had nonbleeding. Thus they were divided into two groups.They were reviewed from January 1993 to December 1995,according to the standard of diagnoses. Several complications were found: hypersplenia, gastric ulcer, spontaneous peritonitis, hepatic coma and poor renal function conditioo in positive and negative bleding.Every kinds of complications in positive bleeding group were seperately compared with mptive bleeding group as controls,RESULTS The positive rates of poor renal function condition and hepetic coma in positive bleeding group were significantly increased as compered to that in controls (P<0.01).CONCLUSION The positive rates of every kinds of complications with upper gestrointestinal bleeding in ascitic liver cirrhosis were higher than noobleeding. ln order to inyesigate the cause and the position of bleeding with cirrhotic ascities and find treating methods,emergency endoscopy was observed.