肝硬化上消化道出血与门脉高压性胃病的关系  

The relationship between the hemorrhage of upper digestive tract in cirrhotic cases with portal hypertensive gastropathy

作　　者：沈洁[1] 石胜利[1] 戴小华[1] 袁帅[1] 

机构地区：[1]南方医科大学附属小榄医院内镜室,广东中山528415

出　　处：《新疆医科大学学报》2009年第11期1560-1561,共2页Journal of Xinjiang Medical University

摘　　要：目的:研究肝硬化上消化道出血患者临床相关资料,分析肝硬化上消化道出血与门脉高压性胃病(PHG)的关系。方法:回顾性分析本院2006年10月～2008年10月150例因肝硬化合并上消化道出血住院患者的临床资料。结果:150例肝硬化出血者行胃镜检查,共检出PHG 51例(34%),食管胃底静脉曲张破裂79例(53%),消化性溃疡20例(13%);PHG与食道胃底静脉曲张程度呈正相关;PHG与Hp(幽门螺杆菌)感染无关。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： To evaluate clinical related data of the hemorrhage of upper digestive tract in cirrhotic cases. Analysis the relationship between the hemorrhage of upper digestive tract in cirrhotic cases with portal hypertensive gastropathy. Methods： The retrospective methods was conducted by 150 cases with upper digestive tract bleeding in cirrhotic cases between 2006 October to 2008 October. Results： 150 cases of cirrhotic patients , cirrhotic cases with upper digestive tract bleeding, 51 cases of PHG, 79 cases of esophageal variees and gastric varices, 20 cases of ulcer bleeding. The progress of PHG followed the aggraration of esophageal variees, the width of portal vein were no statistics difference in light PHG and the severe PHG. Conclusion： PHG was high rate and important causes among the hemorrhage of upper digestive tract in cirrhotic cases.

关 键 词：肝硬化 门脉高压性胃病 上消化道出血 食管胃底静脉曲张 

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