摘要
目的探讨肝硬化合并上消化道出血的发病原因,为临床诊疗提供必要的指导。方法选择2011年7月—2012年8月我院收治的肝硬化合并上消化道出血的患者52例,通过对其进行胃镜检查以及Child-pugh分级,并安排专人对所得数据进行及时的登记与分析。结果引发患者上消化道出血的因素中,静脉曲张破裂出血占50%,非静脉曲张破裂导致患者出血占50%;两者比较差异无统计学意义(P>0.05)。导致患者非静脉曲张破裂出血因素可以分为消化性溃疡出血以及门脉高压性胃病出血两大原因,且Child-pugh C级的门脉高压性胃病出血的概率高于消化性溃疡出血,差异有统计学意义(P<0.05)。结论引发患者出现肝硬化合并上消化道出血的原因,不仅有食管胃底静脉曲张破裂出血,还与消化道溃疡以及门静脉高压性胃病有关,特别是在Child-pugh C级中,非静脉曲张破裂出血的情况相对较多,广大医师在临床治疗中应该对其高度重视。
Objective To explore the causes of gastrointestinal tract hemorrhage in cirrhosis,provide necessary guidance for clinical diagnosis and treatment.Methods 52 patients with liver cirrhosis combine gastrointestinal bleeding in our hospital from July 2011 to August 2012,through its endoscopy and Child-pugh classification,arrange for timely registration of the data obtained and analyzed.Results Factors that lead to the upper gastrointestinal bleeding in patients,variceal bleeding in 50% with non-variceal bleeding resulting in 50%;The difference was not statistically significant（P＞0.05）.Probability of resulting in patients with non-variceal bleeding peptic ulcer bleeding and factors that can be divided into portal hypertensive gastropathy bleeding for two reasons,and the Child-pugh C portal hypertensive gastropathy bleeding peptic ulcer bleeding above,the difference was statistically significant（P＜0.05）.Conclusion Patients with liver cirrhosis combined gastrointestinal tract hemorrhage,not only have esophageal varices bleeding,but also with thepeptic ulcer door still hypertensive gastropathy relevant,especially in Child-pugh C level,the non-variceal relatively more cases of bleeding,the majority of physicians in clinical treatment should their attention.
出处
《临床合理用药杂志》
2014年第9期91-92,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
肝硬化
胃肠道
出血
治疗结果
Liver cirrhosis
Gastrointestinal tract
Hemorrhage
Treatment outcome
