310例非静脉曲张破裂肝硬化并上消化道出血临床分析

Clinical analysis of 310 liver cirrhosis with non-variceal upper gastrointestinal hemorrhage

[目的]总结本院9年多来收治的310例非静脉曲张破裂肝硬化失代偿期并上消化道出血(UGH)患者的病因。[方法]对行急诊内镜检查的310例非静脉曲张破裂肝硬化失代偿期并UGH患者的病因、临床表现进行回顾性分析。[结果]310例非静脉曲张破裂肝硬化失代偿期并UGH患者,占同期肝硬化失代偿期并UGH患者的63%(310/492);其中门脉高压性胃病219例(70.64%),消化性溃疡59例(19.03%),急性糜烂性胃炎31例(10%),胃体中分化腺癌1例(0.32%)。[结论]非静脉曲张破裂出血是肝硬化失代偿期并UGH常见原因,其中以门脉高压胃病最常见。

[Objective]To analyze the causes for the non-variceal upper gastrointestinal hemorrhage in liver cirrhosis patients. I-Methods]The emergency endoscopy finding from 310 liver cirrhosis cases with the clinical manifestation of non-variceal upper gastrointestinal hemorrhage were retrospectively reviewed,the UGH etiology, clinical manifestations, complications, and outcome were analyzed. [Results]The prevalence of non-variceal upper gastrointestinal hemorrhage in liver cirrhosis was 63 %,including portal hypertensive gastropathy （PHG） 219 cases （70. 64%）,peptic ulcer 59 cases （19.03%）,acute erosive gastritis 31 patients （10 %）, gastric differentiated adenocarcinoma patients （0. 32 %）, esophageal varices bleeding 182 cases （36.99%）. [Conclusion]Non-variceal bleeding is a common cause for decompensated cirrhosis UGH.