肝硬化上消化道出血急诊胃镜检查的临床价值  

The Clinical Analysis of Cirrhosis Combined with Upper Gastrointestinal Hemorrhage

作　　者：卢文标[1] 李炯[1] 荣举[1] 郑少忠 许月明[1] 

机构地区：[1]广东省汕头大学第二附属医院急诊内科,515000 [2]汕头市潮南区人民医院普外科

出　　处：《实用全科医学》2005年第4期291-292,共2页Applied Journal Of General Practice

摘　　要：目的了解肝硬化合并上消化道出血原因,以指导转归及临床正确处理。方法回顾性分析64例因肝硬化合并上消化道出血的住院病人临床资料。结果急诊胃镜检查确诊食道静脉曲张破裂出38例,胃粘膜病变出血22例,胃溃疡出血4例,且年龄越大,合并胃粘膜糜烂出血者越多。经针对性治疗64例中60例恢复,4例死亡。结论在肝硬化合并上消化道出血中,非静脉曲张出血的机率较高,故在应用降低门静脉压力药物的同时,使用抑酸剂及粘膜保护剂十分必要。Objective To investigate the mechanism of cirrhosis combined with upper gastrointestinal hemorrhage(UGB) in order to guide the correct clinical management. Methods The hospitalizing data of 64 cases of cirrhosis combined with UGB were analyzed retrospectively. Results Thirty-eight cases were diagnosed by emergency gastroscopy with esophageal varix, 22 cases with gastric mucosal lesion, 4 cases with gastrelceosis haemorrhage. All 64 cases took an allopathic cure. 60 cases recovered, 4 cases died. Conclusions Among the cases of cirrhosis combined with UGB, the ratio of non-esophageal varix bleeding is increasing. To protect gastric mucosa with antacid and protective agent should be paid more attention.

关 键 词：肝硬化 上消化道出血 急诊 胃镜检查 粘膜保护剂 

分 类 号：R575.2[医药卫生—消化系统] R573.2[医药卫生—内科学]