摘要
目的探究肝硬化合并非静脉曲张性上消化道出血临床特点。方法对医院2017年1月—2019年1月间收治的肝硬化合并非静脉曲张性上消化道出血患者70例作为研究对象,对上述患者的临床资料进行回顾分析,观察患者的内镜特点,并分析临床预后情况。结果在70例的上消化道出血患者中,HBV共39例,HCV共7例,HBV合并酒精性肝硬化10例,HCV合并酒精性肝硬化3例,自身免疫性肝病1例,酒精性肝硬化9例,血吸虫性肝病1例。镜下可见门脉高压性胃病21例,十二指肠溃疡23例,胃溃疡26例。此外患者镜下可见39例食管下段静脉红色血管征并有镜下出血灶。70例患者在治疗后有59例未出血。结论肝硬化合并非静脉曲张性上消化道出血患者具有较高的发病率,患者需要及时接受诊治,控制病情发展。
Objective To investigate the clinical features of cirrhosis with non-variceal upper gastrointestinal bleeding. Methods From January 2017 to January 2019,70 patients with cirrhosis and non-variceal upper gastrointestinal hemorrhage admitted to our hospital were retrospectively analyzed. The patient’s endoscopy was observed. Features and analysis of clinical prognosis. Results Among the 70 patients with upper gastrointestinal bleeding, there were 39 cases of HBV, 7 cases of HCV, 10 cases of HBV combined with alcoholic cirrhosis, 3 cases of HCV combined with alcoholic cirrhosis, 1 case of autoimmune liver disease, 9 cases of alcoholic cirrhosis, and 1 case of schistosomiasis liver disease. There were 21 cases of oozing blood, 23 cases of duodenal ulcer and 26 cases of gastric ulcer. In addition, 39 cases of red veins in lower esophageal veins with microscopic hemorrhage were observed. 59 of the 70 patients had no bleeding after treatment. Conclusion Patients with cirrhosis and nonvariceal upper gastrointestinal hemorrhage have a high incidence, Patients need timely diagnosis and treatment to control the development of the disease.
作者
蔡安健
CAI Anjian(Department of Internal Medicine,Zhongxiang Chang'an Hospital,Zhongxiang Hubei 431900,China)
出处
《中国继续医学教育》
2020年第21期116-118,共3页
China Continuing Medical Education
关键词
肝硬化
非静脉曲张性
上消化道出血
临床分析
并发症
临床表现
liver cirrhosis
non-variceal
upper gastrointestinal bleeding
clinical analysis
complications
clinical manifestations
