Cirrhosis plateau of 48 cases of peptic ulcer.docVIP

 PAGE \* MERGEFORMAT 6 Cirrhosis plateau of 48 cases of peptic ulcer [Keywords:] plateau causes of peptic ulcer with cirrhosis Cirrhosis of the liver (cirrhosis of liver is often associated with peptic ulcer (peptic ulcer, and in the plateau region (altitudegt; 3000m as low partial pressure, low oxygen, low temperature and other environmental factors, while the lack of health care knowledge to local residents, but also addicted to alcohol habits, hepatitis, cirrhosis of the liver a higher prevalence of peptic ulcer patients with cirrhosis are more common, less frequent if the treatment of upper gastrointestinal bleeding, life-threatening. now in our hospital since 2008 were treated from 2001 to 48 cases of liver sclerosis combined to make a retrospective analysis of peptic ulcer. 1 Clinical data 1.1 General Information Cirrhosis of the liver have a clear history of 48 men and 33 cases and 15 women, mean age 41.5 years (2463 years old. Etiology of viral cirrhosis in 27 cases, 18 cases of alcoholic cirrhosis, cholestatic liver cirrhosis 1 patients, cryptogenic in 2 patients. liver function classified by Child pugh method: A grade of 27 cases, B grade in 15 cases, C 6 cases .32 patients had hematemesis or melena, 5 beneath bloody shock. 1.2 Inspection Methods 48 cases, 32 cases of upper gastrointestinal bleeding in cirrhotic patients bleeding within 48 hours, the situation in the condition to allow emergency endoscopy found downstream peptic ulcer bleeding, were excluded from esophageal and gastric varices (all with different degree of esophageal varices bleeding. 1.3 Treatment and prognosis 48 patients were treated with acid after admission to protect the gastric mucosa, killing Hp, while for portal hypertension, endotoxemia and other risk factors, supported by improved treatment of liver function, prevention of hepatic coma, such as comprehensive medical treatment, with gastrointestinal bleeding hemostatic agent was added to supplement