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目的：分析门脉高压性胃粘膜病变的特点和探讨其治疗方法。方法：按１９８４年南宁会议门脉高压的诊断标准，以１９９０年１２月至１９９６年１２月在我院经胃镜检查诊断为门脉高压性胃粘膜病变的６６例病人为研究对象。结果：６６例病人胃粘膜均存在明显充血水肿；２４例胃粘膜出现蛇皮样改变；２９例出现粘膜糜烂出血，随着门脉高压病程的延长，出血的发生率增加。结论：门脉高压性胃粘膜病变是肝硬化门脉高压并发上消化道出血的重要原因，出血的发生率与门脉高压的病程有关。对胃粘膜病变出血采取降低门静脉压力，抑制胃酸分泌等综合治疗措施可获得满意的治疗效果。
Objective: To analyze the characteristics of portal hypertensive gastric mucosal lesions and to explore its treatment. Methods: According to the diagnostic criteria of portal hypertension in Nanning Conference in 1984, 66 patients diagnosed as portal hypertensive gastric mucosal lesions by gastroscopy in our hospital from December 1990 to December 1996 were studied. Results: There were obvious hyperemia and edema in gastric mucosa in 66 patients, snake skin-like changes in 24 gastric mucosa, mucosal erosion and bleeding in 29 patients, and the incidence of hemorrhage increased with the prolongation of portal hypertension. Conclusions: Portal hypertensive gastric mucosal lesions are an important cause of portal hypertension in patients with cirrhosis and upper gastrointestinal bleeding. The incidence of bleeding is related to the duration of portal hypertension. Bleeding on gastric mucosal lesions to reduce the portal vein pressure, inhibition of gastric acid secretion and other comprehensive treatment measures can be satisfied with the treatment effect.