本文总结我科1987年1月-1993年12月间76例肝硬化合并急性上消化道出血患者的急诊内镜检查及部分患者胃粘膜活检结果,结合临床资料,分析其出血原因,了解门脉高压时胃粘膜的改变,评价肝硬化上消化道出血时急诊内镜检查的价值。 1 对象和方法 1.1 对象 76例肝硬化上消化道出血患者,男62例,女14例。年龄15-68岁,均有门脉高压表现,发生呕血伴黑便47例,仅黑便22例,大便潜血阳性7例,依呕血和黑 This article summarizes the emergency department’s endoscopic examination and gastric biopsy in 76 patients with cirrhosis complicated with acute upper gastrointestinal bleeding from January 1987 to December 1993 in our department. Combined with clinical data, we analyzed the causes of bleeding, Gastric mucosal changes at high pressure, the value of emergency endoscopy in the evaluation of cirrhotic upper gastrointestinal bleeding. 1 objects and methods 1.1 object 76 cases of cirrhosis patients with upper gastrointestinal bleeding, 62 males and 14 females. Age 15-68 years old, have portal hypertension, hematemesis occurred with melena 47 cases, melena only 22 cases, fecal occult blood positive in 7 cases, according to hematemesis and black