论文部分内容阅读
目的探讨肝硬化失代偿期患者消化道非曲张静脉破裂性出血(门脉高压性胃病及肝源性溃疡)的临床特点。方法对433例肝硬化上消化道出血患者在48h内行胃镜检查,并对其结果进行分析。结果本组病例肝硬化食管胃底曲张静脉破裂出血232例,占53.6%;门脉高压性胃病及肝源性溃疡并出血201例,占46.4%,其中门脉高压性胃病黏膜出血139例,肝源性溃疡出血62例。结论门脉高压性胃病及肝源性溃疡在肝硬化失代偿期并发上消化道出血病因中是较常见的,且食管静脉曲张的程度与门脉高压性胃病轻重程度无关。
Objective To investigate the clinical features of non-variceal bleeding in patients with decompensated liver cirrhosis (portal hypertensive gastropathy and liver-derived ulcer). Methods Gastroscopy was performed on 433 patients with cirrhosis and upper gastrointestinal bleeding within 48 hours and the results were analyzed. Results 232 cases (53.6%) of portal cirrhosis esophageal and gastric varices bleeding in this group, 201 cases of portal hypertensive gastropathy and liver-derived ulcer and bleeding, accounting for 46.4%, of which 139 cases of portal hypertensive gastropathy mucosal hemorrhage, Hemorrhagic liver ulcer in 62 cases. Conclusions Portal hypertensive gastropathy and liver-derived ulcer are more common in the etiology of cirrhosis with decompensated upper gastrointestinal hemorrhage, and the degree of esophageal varices has nothing to do with the severity of portal hypertensive gastropathy.