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目的探讨肝硬化患者并发上消化道出血的临床诊断以及预后因素。方法回顾分析了60例肝硬化并发上消化道出患者的临床资料。结果治愈54例,其中出现腹水33例,继发感染12例;死亡6例,其中继发性肝性脑病3例,因出血凶猛急救无效3例,住院时间1～50 d。结论早期诊断及积极治疗是提高肝硬化患者并发上消化道出血治愈率的关键。
Objective To investigate the clinical diagnosis and prognosis of patients with cirrhosis complicated by upper gastrointestinal bleeding. Methods The clinical data of 60 patients with cirrhosis complicated with upper digestive tract were retrospectively analyzed. The results of 54 cases were cured, of which ascites in 33 cases, 12 cases of secondary infection; 6 cases of death, including 3 cases of secondary hepatic encephalopathy, 3 cases of fierce first aid due to bleeding and hospital stay of 1 ~ 50 d. Conclusion Early diagnosis and aggressive treatment are the keys to improve the cure rate of upper gastrointestinal bleeding in patients with liver cirrhosis.