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我们总结了55例肝硬化并上消化道出血患者,除采用积极的输血、止血、补充血容量外,重点预防并发症的发生,采用三保、三防、三利、三控制的治疗措施,提高了抢救成功率,明显降低了病死率,现分析如下。 1 临床资料 1.1 病例来源 55例均来源于西安第四军医大学西京医院消化科门诊和住院患者。 1.2 一般资料 男45例,女10例,男女之比为4.5:1。30岁以下10例,60岁以上25例,30～60岁之间20例,年龄最小22岁,最大81岁,平均40.5±13.3岁。估计失血量1000ml以下15例,1000～1500ml25例,1500
We summarize 55 patients with cirrhosis and upper gastrointestinal bleeding, in addition to the use of positive blood transfusion, bleeding, blood volume, the focus of prevention of complications, the use of three security, three defenses, Sanli, three control measures to improve The success rate of rescue, significantly reducing the mortality rate, are analyzed as follows. 1 Clinical data 1.1 The source of 55 cases were from Xi’an Xijing Hospital, Fourth Military Medical University, Department of Gastroenterology outpatient and inpatient. 1.2 General information 45 males and 10 females, male to female ratio of 4.5: 1.30 years of age in 10 cases, 60 years of age in 25 cases, 30 to 60 years old in 20 cases, the youngest 22 years old, maximum 81 years, the average 40.5 ± 13.3 years old. Estimated blood loss in the following 1000ml 15 cases, 1000 ~ 1500ml25 cases, 1500