Cirrhosis 67 cases of upper gastrointestinal hemorrhage clinical.docVIP

 PAGE \* MERGEFORMAT 9 Cirrhosis 67 cases of upper gastrointestinal hemorrhage clinical Upper gastrointestinal bleeding is a common acute digestive system, liver cirrhosis with upper gastrointestinal bleeding is the common cause, it is a serious threat to the lives of patients, the different causes of bleeding are not the same as its treatment, liver cirrhosis patients with upper gastrointestinal hemorrhage If all were treated by variceal bleeding time is bound to lead to treatment and drug cost increases thereby increasing the financial burden of patients. Our hospital from January 2003 ~ October 2009 admitted patients with cirrhosis 67 cases of upper gastrointestinal bleeding, are as follows. 1 Materials and Methods 1.1 General information: 67 cases of liver cirrhosis complicated with upper gastrointestinal bleeding patients were in January 2003 ~ October 2009 in our hospital patients, 47 patients were male and 20 female, aged 42 to 71 years, mean 51 years old. In addition to diagnosis of liver cirrhosis in all patients with typical clinical manifestations, were confirmed by ultrasonography or CT and laboratory tests confirmed that one of the 61 cases of liver cirrhosis (58 cases of liver cirrhosis after hepatitis B, hepatitis C cirrhosis in 3 cases) , 6 cases of alcoholic cirrhosis, the performance of both hematemesis and (or) black stools. All patients Childpugh classification [1] , which Childpugh A grade of 15 cases, Childpugh B grade in 18 cases, Childpugh C grade in 19 cases. 1.2 Methods 1.2.1 Clinical symptoms and signs of initial symptoms as hematemesis and melena in 59 cases, upper abdominal discomfort, palpitations, sweating in 3 cases, jaundice in 5 cases. Awareness of the situation when the bleeding was normal. Blood pressure, pulse 49 cases of normal: systolic blood pressure 70 mmHg ~ 80 mmHg (9.33 kPa ~ 10.67 kPa), pulse 100 / min ~ 120 times / min 6 cases; systolic blood pressure 60 mmHg ~ 70 mmHg (6.77kPa ~ 9.33 kPa), p