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目的探讨肝硬化合并上消化道出血的出血原因和治疗方法。方法回顾性分析86例肝硬化合并上消化道出血患者的临床资料。结果在86例患者中,食管胃底静脉曲张出血占67.4%,门脉高压性胃病出血占18.6%,消化性溃疡出血占10.5%。经治疗,消化道停止出血73例,自动出院或转外科8例,因失血性休克,肝昏迷死亡5例。结论食管胃底静脉曲张破裂出血是肝硬化合并上消化道出血的主要原因,门脉高压性胃病和消化性溃疡也是不可忽视的出血原因。
Objective To investigate the causes and treatment of hemorrhage caused by cirrhosis with upper gastrointestinal hemorrhage. Methods The clinical data of 86 patients with cirrhosis complicated with upper gastrointestinal bleeding were retrospectively analyzed. Results 86 cases of esophageal varices bleeding accounted for 67.4%, portal hypertensive gastropathy accounted for 18.6%, peptic ulcer bleeding accounted for 10.5%. After treatment, hemorrhage stopped in 73 cases of gastrointestinal, auto-discharge or surgery in 8 cases, due to hemorrhagic shock, hepatic coma death in 5 cases. Conclusion Esophageal and gastric variceal bleeding is the main cause of cirrhosis with upper gastrointestinal bleeding. Portal hypertensive gastropathy and peptic ulcer are also the causes of bleeding.