我们近来应用洛赛克治疗门脉高压性胃炎并出血12例,效果满意。 临床资料:男8例,女4例;年龄28～54岁。均因黑便以急性上消化道出血就诊。其中因门脉高压症、脾大、脾亢、食管静脉曲张破裂出血行脾切除加胃底贲门周围血管离断术3例,脾切除加胃冠状静脉结扎术2例。脾切除加肠腔分流术2例;另外5例以前均被诊断为肝硬变门脉高压症。经纤维胃镜检查8例,均诊断为门脉高压性胃炎,胃底粘膜糜烂出血。肝功能按Chlid分级,A级2例,B级7例,C级3例。首次出血者3例,出血2次以上者9例,无失血性休克 We recently applied Losec to treat portal hypertensive gastritis and bleeding in 12 cases, the effect is satisfactory. Clinical data: 8 males and 4 females; aged 28 to 54 years old. Due to the black will be acute upper gastrointestinal bleeding treatment. Which due to portal hypertension, splenomegaly, hypersplenism, esophageal variceal bleeding splenectomy plus gastric cardia around the vascular surgery in 3 cases, splenectomy plus gastric ligation in 2 cases. Splenectomy plus intestinal shunt in 2 cases; the other 5 cases were previously diagnosed as cirrhosis and portal hypertension. Fiber gastroscopy in 8 cases were diagnosed as portal hypertensive gastritis, gastric mucosal erosion bleeding. Chlid liver function classification, A grade in 2 cases, B grade in 7 cases, C grade in 3 cases. The first bleeding in 3 cases, bleeding more than 2 times in 9 cases, no hemorrhagic shock