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肝硬化门脉高压患者发生上消化道出血,常常被认为是食管胃底静脉曲张破裂出血所致。随着急诊内镜广泛开展,发现部分出血是由门脉高压性胃粘膜病变所致。我院自1990年以来收治经内镜确诊的肝硬化食管静脉曲张的患者107例,发现伴有急性胃粘膜病变及出血的病例38。例,现结合相关资料及文献作扼要分析,以便进一步提高诊断治疗水平。 1 临床资料
Upper gastrointestinal bleeding occurs in cirrhotic patients with portal hypertension and is often thought to be due to bleeding from esophageal and gastric varices. With the emergency endoscopic widely carried out and found that part of the bleeding is caused by portal hypertensive gastric mucosal lesions. In our hospital, 107 patients with endoscopic esophageal varices diagnosed by endoscopy since 1990 were found to have cases of acute gastric mucosal lesions and bleeding38. Cases, are combined with relevant information and literature for a brief analysis, in order to further improve the diagnosis and treatment. 1 clinical data