摘要
目的:探讨肝硬化并消化性溃疡的临床特点。方法:将210例肝硬化门静脉高压患者设为A组,100例普通胃病患者设为B组。观察溃疡出血率、检出率、HP感染率、肝源性溃疡分期与门静脉高压的关系、溃疡易发部位、治愈率。结果:肝硬化并消化性溃疡的检出率明显高于一般胃病患者。此外,肝硬化并消化性溃疡的胃肠出血率明显高于一般胃病患者,肝源性溃疡大多发生在胃部。在治疗上,制酸剂(质子泵抑制剂)结合盐酸普萘洛尔疗效明显优于单独使用制酸剂。结论:多数肝源性溃疡临床症状不典型,其检出率、并发出血率均高于一般消化性溃疡,并且溃疡活动期的发生率与门脉高压有关。故在治疗肝源性溃疡时应注意降低门静脉压力。
Objective ：To investigate the clinical characteristics of peptic ulcer in patients with liver cirrhosis. Methods ：210 cases of portal hypertension in liver cirrhosis patients was set to A group, and 100 cases of ordinary gastropathy in patients was set to B group. Ulcers were observed the detection rate, the combined bleeding rate, the infection rate of HP , ulcers in phases with the relationship between portal hypertension, had easily ulcer site, there was the efficiency of treatment. Results ：The detection rate of the cirrhotic patients with peptic ulcer was more than that of the general gastropathy. In addition, the incidence of gastrointestinal bleeding on the cirrhotic patients with peptic ulcer was higher than that of the ordinary gastropathy. Hepatogenic ulcer happens mostly in the stomach. In the treatment of acid-suppressing agent （Proton pump inhibitor）combined with Propranolol intentions efficacy was markedly superior to acid-suppressing agent used alone. Conclusions ：The detection rate and the incidences of gastrointestinal bleeding of the cirrhotic patients with peptic ulcer were more than that of general gastropathy, and it is related to portal hypertension.
出处
《安徽卫生职业技术学院学报》
2009年第5期37-38,共2页
Journal of Anhui Health Vocational & Technical College
关键词
肝硬化
消化性溃疡
Live cirrhosis
Peptic ulcer
