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本文复习了用内窥镜早期诊断168例肝硬化上消化道出血患者的临床资料,并检验其对查明出血源的诊断价值。168例出现上消化道出血193次,当活动性出血时或出血终止48小时内进行了内窥镜检(Olympus GIF型D)。其中143例做了肝组织检查。根据出血来源患者分为4组:①胃食管静脉曲张;②胃或十二指肠粘膜急性损害(包括糜烂、急性溃疡和出血点);③慢性胃与十二指肠溃疡;④多个出血性病损。
This article reviews the clinical data of 168 patients with cirrhosis and upper gastrointestinal bleeding diagnosed early by endoscopy and examines their diagnostic value for identifying the source of bleeding. 168 cases of upper gastrointestinal bleeding occurred 193 times, when the active bleeding or within 48 hours after the end of bleeding endoscopy (Olympus GIF type D). Of 143 cases, liver biopsy was done. According to the source of bleeding patients are divided into 4 groups: ① gastroesophageal varices; ② gastric or duodenal mucosal acute injury (including erosion, acute ulcer and bleeding points); ③ chronic gastric and duodenal ulcer; ④ multiple bleeding Sexual lesions.