肝硬化上消化道出血病灶性质89例分析  

Analysis of the Focus of Upper Gastrointestinal Hemorrhage in 89 Cases of Hepatic Cirrhosis

作　　者：余少灵[1] 隋杰[1] 许小江[1] 

机构地区：[1]广东医学院第二附属医院内科

出　　处：《国际医药卫生导报》2005年第17期60-61,共2页International Medicine and Health Guidance News

摘　　要：目的分析肝硬化患者合并上消化道出血的病灶性质。方法对89例肝硬化合并上消化道出血的患者在入院后12h～24h内行急诊胃镜检查以明确出血病灶性质。结果发现病灶为食管胃底静脉曲张破裂出血49例,占55.17%,消化性溃疡出血21例,占23.86%,门脉高压性胃病出血15例,占16.87%,其他病灶4例,占4.1%。结论肝硬化患者合并上消化道出血的病灶性质不尽相同,应针对不同病灶性质给予相应的治疗措施。Objective To analyse the category of bleeding focus in upper gastrointestinal hemorrhage of hepatic cirrhosis patiens, Method 89 patiens of hepatic cirrhosis complicated with upper gastrointestinal hemorrhage were given emergency endoscopy to search and confirm bleeding focus in 12 hours to 24 hours after thire hospitalization .Result 49（55.17%） cases bled from esophageal and gastric varices ,21（23.86%） cases were bleeding of peptic ulcer ,15（16.87%） were portal hypertension gastric bleeding ,and 4（4.1%）cases were other deseases. Conclusion there are some different kinds of bleeding focus in the patiens of hepatic cirrhosis complicated with upper gastrointestinal hemorrhage .corresponding treatment should be applied according to the nature of the bleeding focus.

关 键 词：肝硬化 上消化道出血 急诊胃镜 肝硬化上消化道出血 病灶性质 食管胃底静脉曲张破裂出血 肝硬化患者 消化性溃疡出血 急诊胃镜检查 肝硬化合并 

分 类 号：R575.2[医药卫生—消化系统] R735.7[医药卫生—内科学]