肝硬化合并上消化道出血421例临床分析  

Clinical analysis of 421 cases with upper gastrointestinal hemorrhage accompanied liver cirrhosis

作　　者：张文辉[1] 高丽丽[1] 韩军[1] 王新真[1] 向璐[1] 刘亭亭[1] 程留芳[2] 金波[1] 李捍卫[1] 

机构地区：[1]解放军302医院肝硬化诊疗中心,北京100039 [2]解放军总医院消化内科

出　　处：《中华保健医学杂志》2012年第2期128-130,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的观察肝硬化合并上消化道出血(UGH)的临床表现及胃镜检查结果并寻找原因。方法对421例UGH患者急诊胃镜检查,分析静脉曲张破裂出血与非静脉曲张破裂出血的临床与胃镜表现。结果 421例中,静脉曲张破裂所致为200例,其中食管静脉曲张破裂为99例,贲门区、胃底静脉曲张破裂分别为74例、27例;非静脉曲张破裂为221例,其中门脉高压性胃病为98例,然后依次为急性胃黏膜病变、肝源性溃疡等。结论静脉曲张破裂出血仍是UGH的主要原因,而非静脉曲张破裂出血也是重要原因,以门静脉高压性胃病最常见。及时的胃镜检查有助于鉴别不同病因并及时采取防治措施。Objective To explore the characteristics of upper gastrointestinal hemorrhage（UGH）accompanied liver cirrhosis.Methods Emergent endoscopy was performed in 421 UGH patients with liver cirrhosis and the incidence of variceal bleeding and non variceal bleeding were analyzed.Results In 421 patients of liver cirrhosis with UGH,variceal bleeding accounted for the majority cases（200 cases）,the remaining were bleeding from portal hypertensive gastropathy,gastric mucosal lesion and hepatogenic ulcer（HU）.Conclusions Variceal bleeding was the predominant cause for UGH in patients with liver cirrhosis.Additionally,PHG and HU were also commonly seen reasons.Emergent endoscopy was necessary for diagnosis.

关 键 词：肝硬化 出血 静脉曲张 急诊内镜 

分 类 号：R575.2[医药卫生—消化系统]