摘要
肝硬变上消化道大出血患者６２例，出血后６小时～１周内行胃镜检查及硬化剂治疗。检查证实无食管胃底静脉曲张２例；胃及十二指肠球部明显糜烂１４例（２２．６％），胃和十二指肠球部溃疡６例（９．７％）。９例（１４．５％）为非静脉曲张性出血，７例（１１．３％）为双因素性出血，表明将肝硬变上消化道大出血一概推断为食管静脉曲张破裂出血是片面的。作者强调早期内镜检查和治疗的重要性。
Sixtytwo liver cirrhosis cases with upper gastrointestinal tract hemorrhage were reciered endoscopiec examinations and sclerotherapy 6 hours to 7 days after episodes, the result shew 2 cases (3. 2%) without esopageal varices, 14 cases (22. 6%) with obvious erosions of stomach and duodenum, 6 cases (9. 7%) with gastric and duodenal ulcers. 9 cases (14. 5%) having these lesions judged as major bleeding causes, 7 cases (11. 3%) considered as bleeding of double factors. The authors proved that upper gastrointestinal tract bleeding in cirrhotic patients was not only from esophageal varices, but also from peptic ulcers and erosionsetc. It is necessary to perform gastroscopy as early as possible for correct diagnosis and treatment.
出处
《内镜》
1995年第3期135-137,共3页
关键词
肝硬变
上消化道出血
病因
内镜
诊断
Bleeding cause
Varices
Ulcer and erosion
Sclerotherapy
