肝硬化并上消化道出血196例

A Clinical Research of 196 Patients with Cirrhosis and Upper Gastrointestinal Hemorrhage

目的探讨肝硬化并上消化道出血的原因及其与肝功能的关系。方法对肝硬化上消化道出血患者进行急诊胃镜检查,观察肝功能分级与胃镜结果的关系。结果肝硬化患者上消化道出血与肝功能关系A级与B级之间差异不显著(P>0.05),A级与C级、B级与C级之间差异显著(P<0.05,P<0.05)。上消化道出血原因最常见为消化性溃疡(54.59%),其次为急性胃黏膜损害(26.53%)和食管胃底静脉曲张破裂(17.34%)。结论肝硬化上消化道出血的常见病因为消化性溃疡,且与肝功能分级相关。

Objective To discuss the relationship between the function of liver and cause of upper gastrointestinal hemorrhage on the patient with cirrhosis .Methods Take emergency gastro copy to every patient with cirrhosis and upper gastrointestinal hemorrhage, observe the relationship of grade on liver's function and results of gastro scope. Results The relationship between liver function and cause of upper gastrointestinal hemorrhage on the patient with cirrhosis were significantly different in grade A and grade C(P<0.05), grade B and grade C(P<0.05). And the difference between grade A and grade B were not very obviously. The most common cause of upper gastrointestinal hemorrhage with cirrhosis is peptic ulcer(54.59%), next is acute damage of gastric membrance(26.53%) and esophagean varicosity break(EVB)(17.34%).Conclusion The common cause of upper gastrointestinal hemorrhage with cirrhosis is peptic ulser,and has it relates to the grade of liver function .