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肝硬化并发上消化道出血(Upper GastrointestinalBleeding,UGB)是内科常见急诊之一.由于出血原因不一定都是曲张的静脉破裂所致,尽快明确出血原因是正确处理和抢救成功的关键.1990年5月至1997年6月,我院内科和急诊科共收治肝硬化患者并发UGB86例,现根据急诊胃镜检查,结合临床有关资料,对其出血病因探讨如下.1 临床资料本组男性70例,女性16例.年龄18～60岁,其中<30岁17例,30～50岁54例,>50岁15例.肝硬化诊断主要依据慢性肝病史的临床及实验室检查,门静脉高压症候群及B超检查而确诊.
Liver cirrhosis with upper gastrointestinal bleeding (Upper Gastrointestinal Bleeding, UGB) is one of the common medical emergency.Because bleeding is not necessarily caused by varicose vein rupture, as soon as possible to clear the cause of bleeding is the key to the correct treatment and rescue success .1995 5 Month to June 1997, our hospital internal medicine and emergency department were admitted to patients with cirrhosis complicated by UGB86 cases, are based on emergency gastroscopy, combined with clinical data on the cause of bleeding are discussed as follows.1 Clinical data The group of 70 males 16 cases aged 18 to 60 years, of which <30 years in 17 cases, 30 to 50 years old in 54 cases,> 50 years old in 15. Liver cirrhosis diagnosis mainly based on clinical and laboratory tests of chronic liver disease, portal hypertension syndrome and B- Check and diagnosed.