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目的 研究肝硬化患者中非静脉曲张破裂出血的临床特点和内科治疗效果。方法 对住院经急诊内镜确诊的71例肝硬化非静脉曲张破裂出血患者的临床资料进行总结分析。结果 非静脉曲张破裂出血占全部肝硬化上消化道出血的 32 3%,以消化性溃疡和门脉高压性胃病并出血为主要原因 ,占 80 3%,以中等量出血为多 ,占 46 5 %,出血量的多少和肝功能Childpagh分级有关。内科综合治疗的止血率为 88 7%。结论 非静脉曲线破裂出血在肝硬化上消化道出血中占有相当比例。急诊内镜检查对明确出血病因有重要意义。内科综合治疗有较好的止血效果。
Objective To study the clinical features and medical treatment of non-variceal bleeding in patients with cirrhosis. Methods The clinical data of 71 patients with cirrhosis and non-variceal bleeding diagnosed by emergency endoscopy in hospital were analyzed. Results Non-variceal hemorrhage accounted for 32 3% of all cirrhosis patients with upper gastrointestinal bleeding, peptic ulcer and portal hypertensive gastropathy and bleeding as the main reason, accounting for 80 3%, with a moderate amount of bleeding accounted for 46 5 %, The amount of bleeding and liver function Childpagh classification. Internal medicine hemostasis rate of 88%. Conclusion Non-venous curve rupture has a significant proportion of upper gastrointestinal bleeding in cirrhosis. Emergency endoscopy for the diagnosis of etiology is of great significance. Comprehensive medical treatment has a better hemostatic effect.