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在上消化道大出血的病因中,门静脉高压症并发食管胃底静脉曲张破裂占第二位,但因来势迅猛,内、外科治疗的效果均不够满意,死亡率高,在上消化道大出血致死的病例中占首位,是极需进一步探讨的课题之一。据统计,在肝硬变患者中约半数合并有食管胃底静脉曲张,有静脉曲张的病例中约半数会并发大出血,在食管胃底曲张静脉破裂出血时,第一次出血的死亡率达50%左右,即使经非手术疗法止血,半数的病例会在半年内发生第二次出血,而第二次出血时的死亡率更高。在手术治疗时,仍有争论的是在急性大出血时采取手术治疗还是非手术疗法,手术
In the cause of upper gastrointestinal bleeding, portal hypertension and esophagogastric varices accounted for the second, but because of the rapid situation, the effect of internal and surgical treatment are not satisfactory, high mortality, death in the upper gastrointestinal bleeding In the first case, is one of the topics that need to be further explored. According to statistics, about half of patients with cirrhosis with esophageal and gastric varices, about half of cases with varicose veins will be complicated by bleeding, bleeding in the esophageal variceal bleeding, the first bleeding mortality of 50 % Or so, even though non-surgical therapy to stop bleeding, half of the cases will have a second bleeding within six months, and the second bleeding higher mortality. In the surgical treatment, there is still controversy in the acute hemorrhage surgery or non-surgical treatment, surgery