肝源性溃疡的基础与临床

The Basics and Clinics of Hepatogenic Ulcer

本文报告１１８例肝源性溃疡，内镜下肝硬化病人溃疡检出率为１２．５％。临床特点如下：１．发病年龄较一般性消化性溃疡晚十多岁；２．起病缓慢，症状不典型，病程长，漏诊率高；３．出血率高达４６．７％；４．胃酸明显高于正常人，胃泌素明显高于对照组，ＨＰ感染率升高不明显；５．难以治愈。

This paper reportes 118 patients with hepatogenic ulcer.The besic and clinic characterestics of such ulcer were as follows:1.The age of hepatogenic ulcer was about 10 years older than that in usual peptic ulcer patients.2.The symptoms were atypical,the disease was usually misdiagnosed and the course was long.3.Hemorrhage rate(467%)was much higher than in other ulcer patients.4.The basic acid output and serum gastrin of hepatogenic ulcer were remarkable higher than that of normal people,the Helicobacter Pylori positive rate was 53%.5.It was difficult to treat,but it was 79% of cured using omeprazole.