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为了探讨肝硬化门脉高压性胃粘膜病变（ＰＶＨＧＭＬ）的临床意义，我院自１９９５年以来对１５８例肝硬化门脉高压（ＰＶＨ）伴上消化道出血的病人进行急诊胃镜检查，发现５６例为ＰＶＨＧＭＬ（发生率３５４４％）。在治疗上应用Ｈ２受体拮抗剂、质子泵拮抗剂的同时配合善得定、酚妥拉明等治疗，取得较满意的效果。我们认为对ＰＶＨ伴上消化道出血的病人应该进行急诊胃镜检查，以免误诊而延误病情。在治疗中积极改善门脉压力可以增加止血率，减少病死率。
In order to investigate the clinical significance of PVHGML in cirrhosis, 158 patients with portal hypertension of the liver (PVH) complicated with upper gastrointestinal hemorrhage underwent emergency endoscopy since 1995. 56 cases were found PVHGML (35.44% incidence). In the treatment of H2 receptor antagonist, proton pump antagonist at the same time with good set, phentolamine and other treatment, to obtain more satisfactory results. We believe patients with PVH with upper gastrointestinal bleeding should have an emergency endoscopy to avoid misdiagnosis and delay in their condition. In the treatment of positive portal pressure can improve the hemostasis rate and reduce mortality.