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目的探讨肝硬化失代偿期非食管胃底静脉曲张破裂出血(NEVB)的原因及危险因素。方法对桂林市人民医院消化内科住院的96例NEVB患者临床资料进行回顾性分析、研究。结果 NEVB多数为急性出血,少部分为慢性出血,以门脉高压性胃病和肝源性溃疡为主要出血原因(86.5%)。NEVB发生与食管胃底静脉曲张程度和肝功能损害程度有密切关系。结论 NEVB在肝硬化失代偿期上消化道出血中占有相当比例,门脉高压和肝功能损害是NEVB发生的危险因素,急诊胃镜检查对明确出血原因有重要作用。
Objective To investigate the causes and risk factors of decompensated non-oesophageal variceal hemorrhage (NEVB) in cirrhotic patients. Methods The clinical data of 96 cases of NEVB hospitalized in Department of Gastroenterology of Guilin People ’s Hospital were retrospectively analyzed and studied. Results The majority of NEVB were acute hemorrhage and a few of them were chronic hemorrhage. Portal hypertensive gastropathy and hepatic ulcer were the main causes of bleeding (86.5%). The incidence of NEVB and esophageal varices and the degree of liver damage are closely related. Conclusion NEVB accounts for a significant proportion of upper gastrointestinal hemorrhage in patients with decompensated liver cirrhosis. Portal hypertension and impaired liver function are risk factors for NEVB. Emergency gastroscopy plays an important role in determining the cause of bleeding.