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肝硬化门静脉高压患者上消化道出血,过去一般认为多由于静脉曲张破裂引起。近年来,由于急诊胃镜的广泛开展,发现许多患者出血是由于消化性溃疡(Peptic Ulcer,PU)或急性胃粘膜病变(acute gastric mucosal lesion,AGML)。本文报告我院经急诊胃镜检查发现非静脉曲张破裂的肝硬化上消化道出血26例。 1 资料分析 1.1 一般资料 男23例,女3例;年龄26～70岁,平均43.6岁。肝硬化诊断主要依据慢性肝病史的临床及实验室表现,门静脉高压症侯群及B超检查而确诊。 1.2 急诊胃镜检查结果 全部患者均有不同程度的食道或胃底静脉曲张。所见出血病灶为;上消化道急性粘膜病变20例,占同期肝硬化并上消化道出血的45.4％,消化性溃疡6例,占同期肝硬化上消化道出血的13.6％。
Upper gastrointestinal bleeding in cirrhotic patients with portal hypertension, the past is generally believed that more due to rupture of varicose veins. In recent years, due to the widespread use of emergency endoscopy, many patients have been found to have bleeding due to peptic Ulcer (PU) or acute gastric mucosal lesion (AGML). This article reports the hospital by emergency endoscopy found non-variceal cirrhosis of upper gastrointestinal bleeding in 26 cases. 1 Data Analysis 1.1 General Information 23 males and 3 females; aged 26 to 70 years, mean 43.6 years old. The diagnosis of cirrhosis is mainly based on the clinical and laboratory performance of chronic liver disease, diagnosis of portal hypertension and hernia and B-ultrasound. 1.2 Emergency Gastroscopy Results All patients have varying degrees of esophageal or gastric varices. Hemorrhagic lesions seen; 20 cases of upper gastrointestinal mucosal lesions, accounting for 45.4% of the same period of cirrhosis and upper gastrointestinal bleeding, peptic ulcer in 6 cases, accounting for the same period of cirrhosis and upper gastrointestinal bleeding of 13.6%.