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目的探讨肝硬化上消化道出血的原因。方法对64例肝硬化上消化道出血患者行急性胃镜检查,分析其出血原因。结果 64例肝硬化并上消化道患者中食管静脉曲张出血占50.0%,门脉高压性胃病出血占20.3%,肝源性溃疡出血占15.6%。治疗后,64例患者出血停止54例,转省级医院治疗2例,内镜下治疗3例,转外科手术治疗2例,放弃治疗(自动出院)2例,死亡1例,治疗有效率84.4%。结论应对肝硬化并发上消化道出血患者行急性胃镜检查以明确出血原因,给予针对性治疗争取合理有效的治疗具有重要的临床意义。
Objective To investigate the causes of upper gastrointestinal bleeding in cirrhosis. Methods Acute endoscopy was performed in 64 patients with cirrhosis and upper gastrointestinal bleeding, and the causes of bleeding were analyzed. Results 64 cases of cirrhosis and upper gastrointestinal bleeding in patients with esophageal varices accounted for 50.0%, portal hypertensive gastropathy accounted for 20.3%, liver ulcer bleeding accounted for 15.6%. After treatment, 64 patients stopped bleeding in 54 cases, transferred to the provincial hospital in 2 cases, endoscopic treatment in 3 cases, surgical treatment in 2 cases, to give up treatment (automatic discharge) in 2 cases, 1 patient died, the treatment efficiency of 84.4 %. Conclusions Acute gastroscopy should be performed in patients with cirrhosis complicated by upper gastrointestinal bleeding to clarify the cause of bleeding. It is of important clinical significance to give targeted treatment to obtain reasonable and effective treatment.