肝硬化合并上消化道出血患者的临床诊断与治疗分析

Analysis of Diagnosis and Treatment for Cirrhosis With Upper Gastrointestinal Bleeding

目的探讨肝硬化合并上消化道出血的出血原因、临床诊断及治疗方法与效果。方法收集2012年1月～2015年3月间在我院接受治疗的98例肝硬化合并上消化道出血患者的临床资料,对其进行回顾性分析。结果本组出血原因中食管静脉曲张破裂出血48.98%、门脉高压性胃病出血25.51%、消化性溃疡出血15.31%、急性胃粘膜病变出血8.16%、胃癌出血2.04%;治疗成功率为90.82%,死亡率1.02%。结论肝硬化合并上消化道出血诊治中需及早明确出血原因,根据病因给予对症治疗,以提高治疗成功率。

Objective To investigate the effect of digestion and clinical diagnosis and treatment of cirrhosis with upper gastrointestinal bleeding.Methods 98 cases of cirrhosis with upper gastrointestinal bleeding were chosen from January 2012 to March 2015 in our hospital.Results The causes of hemorrhage esophageal varices rupture bleeding 48.98%,portal hypertensive gastropathy hemorrhage 25.51%,peptic ulcer bleeding in 15.31%,acute gastric mucosa lesion hemorrhage 8.16%,stomach cancer hemorrhage 2.04%.The treatment success rate was 90.82% and mortality rate was 1.02%.Conclusion The need to clear as soon as possible causes of bleeding in the diagnosis and treatment of upper gastrointestinal bleeding in patients with cirrhosis,according to the cause of symptomatic treatment,in order to improve the success rate of treatment.