肝硬化上消化道出血与门静脉高压性胃病的临床分析  

Clinical Analysis of the Relationship between the Hemorrhage of Upper Digestive Tract in Cirrhotic Cases with Portal Hypertensive Gastropathy

作　　者：王艳[1] 王月增[1] 张谨芬[1] 

机构地区：[1]首都医科大学附属北京朝阳医院消化内科,北京100020

出　　处：《中国现代医生》2007年第07Z期8-9,共2页China Modern Doctor

摘　　要：目的分析肝硬化上消化道出血与PHG的关系,探讨PHG发生的机制及其内镜特点。方法回顾性分析本院2001年4月～2005年3月间296例因肝硬化合并上消化道出血住院患者的临床资料。结果296例肝硬化行胃镜检查,共检出PHG176例(60%);其中因PHG出血98例(34%),食管胃底静脉破裂出血161例(55%),溃疡出血37例(13%)。结论在肝硬化合并上消化道出血的病例中,PHG发生率高是肝硬化合并出血的重要原因。Objective Through analysis the relationship between the hemorrhage of upper digestive tract in cirrhotic cases with portal hypertensive gastropethy （PHG）. To discuss the mechanism and endoscopic characteristic of PHG. Methods 296 cases with upper digestive tract bleeding were investigated between 2001 to 2005. Results 296 cases of cirrhotic patients, 176 cases of PHG; cirrhotic cases with upper digestive teact bleeding,98 cases of PHG, 161 cases of esophageal varices and/or gastric varices, 37 cases of ulcer bleeding. Conclusion PHG was high rate and important causes among the upper gastrointestinal bleeding in cirrhotic patients.

关 键 词：肝硬化 门脉高压性胃病 食管胃底静脉曲张 

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