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1978年6月至1979年5月,我科共收治肝硬化并发上消化道大出血患者10例,其中男性8例,女性2例。全部病例有以下表现。 1.明确的肝硬化表现:患者皆有食欲不振、腹胀、脾大、肝功损害、脾功亢进。超声波检查肝波增多,肝脏体积缩小及脾大,其中出现腹水者6例。X线检查有食道静脉曲张者5例,经内窥镜检查证实者2例,尚有1例经手术及病理学检查确诊为结节性肝硬化。 2.上消化道大量出血:表现为大呕血及黑粪,出血量大,呕血凶猛,血色鲜红,大便多呈暗红色糊状便。肝硬化合并明显的溃疡病或出血性胃炎的出血不包括在内。
From June 1978 to May 1979, our department received a total of 10 patients with cirrhosis and upper gastrointestinal bleeding, including 8 males and 2 females. All cases have the following performance. A clear manifestation of cirrhosis: patients have loss of appetite, bloating, spleen, liver damage, hypersplenism. Ultrasonography increased liver waves, reduced liver size and spleen, of which 6 cases of ascites. X-ray examination of esophageal varices in 5 cases, confirmed by endoscopy in 2 cases, there are 1 cases confirmed by surgery and pathological examination of nodular cirrhosis. 2. A large number of upper gastrointestinal bleeding: the performance of hematemesis and black manure, bleeding, vomiting, fierce blood, red blood, mostly stool dark red paste. Hepatic cirrhosis with significant ulcer disease or hemorrhagic gastritis is not included.