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我们于1997年6～9月,利用胃镜取67例肝硬变病人的胃粘膜组织,行幽门螺杆菌(HP)检测,同时测定患者血氨,以探讨肝硬变病人HP感染与高氨血症、肝性脑病发生的关系。现将结果报告如下。 1 临床资料 67例病人均为我院门诊及住院病人,男∶女为46∶21,年龄27～69岁。诊断符合1990年(上海)全国病毒性肝炎会议修订的诊断标准。其中肝炎后肝硬变65例,酒精性肝硬变2例。肝功能分级(Child—Pugh法):B级30例,C级37例。 2 检测方法与分组 2.1 检测方法 67例病人均行常规胃镜检查。于胃窦部钳取2～3块粘膜组织做幽门螺杆菌检测,采
We use gastroscopy to take the gastric mucosa of 67 patients with liver cirrhosis from June to September in 1997 and detect the Helicobacter pylori (HP). At the same time we measured the blood ammonia in patients with liver cirrhosis to investigate the relationship between HP infection and high ammonia Syndrome, the incidence of hepatic encephalopathy. The results reported below. 1 Clinical data 67 patients were hospital outpatient and inpatient, male: female 46:21, aged 27 to 69 years. Diagnosis in line with the 1990 (Shanghai) National Conference on Viral Hepatitis revised diagnostic criteria. Including hepatitis cirrhosis in 65 cases, 2 cases of alcoholic cirrhosis. Liver-function grading (Child-Pugh method): B grade in 30 cases, C grade in 37 cases. 2 detection methods and groups 2.1 detection methods 67 patients underwent routine gastroscopy. In the antrum pliers take 2 to 3 mucosal tissue Helicobacter pylori detection, mining