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食管静脉破裂大出血是属上消化道出血中的危重病,占上消化道出血的2%～10%。由于出血量大而急,尽管当前对出血性休克有多种现代的治疗方法,其病死率仍然较高。近期病死率高达30%～50%。如果患者再夹杂有其它的疾病,其预后更为严重。笔者搜集我院内科6年内(1985～1990)经内科积极抢救而失败死亡的28例进行分析,从中吸取失败的经验教训。
Esophageal variceal bleeding is a critically ill upper gastrointestinal bleeding, upper gastrointestinal bleeding accounted for 2% to 10%. Due to the large and urgent amount of bleeding, the current case fatality rate is still high despite the many modern treatments available for hemorrhagic shock. The recent case fatality rate as high as 30% to 50%. If the patient and then mixed with other diseases, the prognosis is more serious. The author collected our hospital internal medicine within 6 years (1985 ~ 1990) were actively rescued by the medical department failed to death analysis of 28 cases, learn from the failure of the lessons learned.