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目的探讨肝源性溃疡(HU)的特点。方法通过临床及胃镜对HU进行分析。结果HU时上腹痛最多见但缺乏规律性,胃溃疡较十二指肠溃疡多见,其中胃多发性溃疡10例,十二指肠多发性溃疡4例,合并出血者占24.5%。溃疡直径≤1.0cm者最多。HU肝功能分级A级与B、C级间差异有统计学意义(P<0.05),静脉曲张轻度与中、重度间差异有统计学意义(P<0.05)。结论HU症状不典型、发生率高,其发生与肝功能分级和门脉高压显著相关,合并出血率高,及时正确诊治HU可降低死亡率。
Objective To investigate the characteristics of liver ulcer (HU). Methods Clinical and endoscopic HU were analyzed. Results The most common but lack of regularity of abdominal pain was HU. Gastric ulcer was more common than duodenal ulcer, including 10 cases of multiple gastric ulcer and 4 cases of multiple duodenal ulcer. The combined bleeding accounted for 24.5%. Ulcer diameter ≤ 1.0cm who most. There was a significant difference between HU class A and B, C grades (P <0.05). There was a significant difference between mild and moderate varicose veins (P <0.05). Conclusion HU symptoms are not typical, the incidence is high, the occurrence of liver function grading and portal hypertension were significantly associated with high bleeding rate, timely and correct diagnosis and treatment of HU can reduce mortality.