摘要
目的:研究71例肝硬化非静脉曲张破裂出血的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％。以消化性溃汤和门脉高压性胃病并出血为主要原因者占80.3％;以中等量出血为多,占46.5％。出血量的多少和肝功能Child-Pagh分级有关。内科综合治疗的止血率为88.7％。结论:非静脉曲张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。
Purpose: Study for the medicine character of broken bleeding of the unveil bent.also the medical cure effects. Methods: Making synopsis and analysis of the medical materials of the 71 patients suffered from cirrhosis and unveil bent broken bleeding. Results: Unveil bent broken bleeding ac-counts for 32.3 % of the whole cirrhosis and up-alimentary bleeding, The digestive ulcer and portal-high-pressure gasrric illness accompanying with bleeding are the main cause, taking account of 80.3% , Middle bleeding amount take the main proportion cf 46.5% . The bleeding amount have some relationship with the grade of 15 Child-Pagh of livers ability.The anti-bleeding ratio of medical complicated cure is 88.79% . Conclusion: The unveil bent broken bleeding takes quite a part in cirrhosis and up alimentary tract bleeding emergency endoscopes inspection has great significance to determine the cause of bleeding complicated cure has better result of anti-bleeding.
出处
《临床消化病杂志》
2003年第3期121-122,共2页
Chinese Journal of Clinical Gastroenterology
关键词
肝硬化
出血
内科治疗
Cirrhosis Bleeding Medical cure
