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该文统计了近５年来该院收治门脉高压症患者术前纤维胃镜检查情况，在７２例患者当中几乎所有门脉高压症患者的胃粘膜均有不同程度的病理改变，大致分四种类型：充血型４３例，糜烂坏死型１６例，溃疡型８例，贫血型５例。门脉高压症合并上消化道出血的患者，要根据胃镜检查情况来确定治疗方案，如果是食道胃底静脉曲张破裂出血所致，则以手术治疗为主，如果是由于胃粘膜糜烂坏死或溃疡出血，则以保守治疗为主，为了合理确定治疗方案，减少术后并发症的发生，对门脉高压症患者，术前建议常规作纤维胃镜检查。
This article statistics the past five years hospital admission of patients with portal hypertension preoperative gastroscopy, almost all patients with portal hypertension in 72 patients with gastric mucosa have varying degrees of pathological changes, broadly divided into four types : Hyperemia in 43 cases, erosion and necrosis in 16 cases, 8 cases of ulceration, 5 cases of anemia. Portal hypertension patients with upper gastrointestinal bleeding, according to the endoscopy to determine the treatment plan, if it is caused by esophageal varices bleeding, then the surgical treatment, if it is due to gastric mucosal erosion necrosis or ulcers Bleeding, the conservative treatment-based, in order to determine a reasonable treatment options to reduce the incidence of postoperative complications, patients with portal hypertension, preoperative routine for fiber endoscopy.