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目的 探讨肝硬变门脉高压上消化道出血的原因及临床特点。方法 对 12 1例肝硬变门脉高压伴上消化道出血患者急诊胃镜检查 ( 4 8小时内 )结果进行了分析。结果 本组病例中肝硬变非食管静脉曲张破裂出血占肝硬变上消化道出血病例的 3 3 % ( 4 0 / 12 1) ,其中门脉高压性胃病 2 4例 ,消化性溃疡 12例 ,胃癌及病灶不详 4例。结论 肝硬变非食管静脉曲张破裂所致出血中以肝硬变门脉高压性胃病出血最为多见 ,其出血方式各异 ,出血量大小不等 ,有诱因者较多 ,并发症亦较多。临床上应注意与食管静脉曲张破裂出血鉴别。
Objective To investigate the causes and clinical features of portal hypertension in patients with upper gastrointestinal hemorrhage. Methods The results of emergency gastroscopy (48 hours) in 121 patients with portal hypertension of the liver and upper gastrointestinal bleeding were analyzed. Results of this group of patients with cirrhosis of non-esophageal variceal hemorrhage accounted for cirrhosis of the upper gastrointestinal bleeding cases 3 3% (40/121), of which 24 cases of portal hypertensive gastropathy, peptic ulcer in 12 cases , Gastric cancer and lesions unknown 4 cases. Conclusions Hemorrhage caused by non-esophageal varices in patients with cirrhosis is the most common form of hemorrhage due to portal hypertension due to cirrhosis. Hemorrhage occurs in different ways with varying amounts of bleeding. There are more causes and more complications . Clinic should pay attention to differential diagnosis and esophageal variceal bleeding.