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为证实门静脉高压(PVH)胃粘膜在未发生大出血时是否有明显病变,其病变与一般慢性胃炎有无异同,作者对57例PVH患者(男46例,女11例,年龄24～71岁)作了胃镜检查,并与88例慢性浅表性胃炎患者作比较。结果:①57例PVH患者中,胃、十二指肠病变发生率高(其中急性胃粘膜糜烂AGME,47.37%,消化性溃疡21.05%,十二指肠球炎33.33%)。②PVH与CSG(慢性浅表性胃炎)相比,前者的弥漫性充血水肿发生率高(49.12%),后者仅为3.41%,二者差异显著。PVH组的充血性红斑形态不同于CSG,它常伴随有一种蜘蛛痣样改变。前者可能为粘膜下血管扩张和血流量增加所致,后者由粘膜下末稍小动脉瘤引
In order to confirm whether PVH gastric mucosa has obvious pathological changes in the absence of major hemorrhage and its pathological changes are similar to those of chronic gastritis, 57 PVH patients (46 males and 11 females, aged 24-71 years) Gastroscopy was performed and compared with 88 patients with chronic superficial gastritis. Results: ① The incidence of gastric and duodenal lesions was high in 57 patients with PVH (47.97% with acute gastric mucosal erosion, 21.05% with peptic ulcer and 33.33% with duodenal inflammation). ②PVH and CSG (chronic superficial gastritis) compared to the former diffuse hyperemia and edema (49.12%), the latter was only 3.41%, the difference was significant. The congestive erythema in PVH group is different from that of CSG, and often accompanied by a spider-like change. The former may be caused by submucosal vasodilation and increased blood flow, the latter caused by submucous arterioles