肝源性溃疡112例临床综合分析

The Clinical Comprehensive Research of 112 Cases in Hepatogenic Ulcer.

目的 综合认识肝源性溃疡（HU）的临床特点。方法 对112例确诊HU患者，就其临床表现、内镜特点、药物治疗等方面，进行回顾性分析。结果 检出率为21．4％；临床缺乏消化性溃疡（Gu）特征性表现者占97．8％；内镜表现以多发性、多形性、复合型溃疡多见；幽门螺杆菌（HP）阳性率仅为28．6％；降门脉压药物是治疗HU的常规药物之一。结论 HU在检出率、临床表现、内镜、治疗方面，均存在其特异性。

Objective To recognizing the whole clinical characteristic of hepatogenic ulcer（HU）.Methods 112 cases of HU were analyzed respectively with the clinical expression, the gastroscopy features and the medical treatment.Results It was 21.4% in positive rate.There were 97.8% of HU patients to lack the clinical features of routine GU.HU had appeared may complex expression in gastroscopy.28.6% of HU had only found .Propranolol was one of the routine medicine of treatting HU .Conclusion HU had various features at the clinical expression , gastroscopy and medical treatment.