肝硬化门脉高压与消化性溃疡(附65例剖析)(国外英文资料).docVIP

肝硬化门脉高压与消化性溃疡(附65例分析) Cirrhosis portal hypertension and peptic ulcer (with 65 analysis) Update date: 2010-10-15: Lin wei generation Based on 308 cases of liver cirrhosis patients (including merge 38 cases of upper gastrointestinal bleeding) fiber endoscope examination, the results detected 65 cases of peptic ulcer, the detection rate of 21.1%, significantly higher than the 6.8% ~ 10% of the our country crowd ulcer incidence; Gastroscopy showed 12 cases of ulcer bleeding and 31.6% (12/38) of patients with cirrhotic bleeding. This paper probes into the pathogenesis and clinical features of hepatic hypertension concurrent peptic ulcer. Keyword cirrhosis; Portal hypertension; Peptic ulcer Hepatocirrhosis portal hyperbaric hyperpeptic ulcer is known as hepatic ulcer [1]. There are few domestic reports of hepatogenic ulcers, and there has been no serious attention to the problem of misdiagnosis. In December 1989 to December 1996, we treated 308 cases of cirrhosis patients (38 cases) and upper gastrointestinal bleeding line fibre gastroscopy, the result detected 65 cases of peptic ulcer, ulcer bleeding in 12 cases, now report as follows. Clinical data of 1 1.1 general data in 65 cases, 59 cases of male, female 6 cases, the ratio of male and female was 9.8:1, aged 22 to 72 years old, average 49.2 years, 52 cases of posthepatitic cirrhosis, 10 cases of alcoholic liver cirrhosis, mixed cirrhosis of the liver (3 cases), 12 cases of ulcer hemorrhage clinical hematemesis and black 4 cases, pure black and 8 cases; Blood volume 500ml6, 500 ~ 1000ml4, 1000ml2. 1.2 endoscopy can see all cases have different degrees of esophageal gastric varices, this group of 65 cases, 35 cases of duodenal ulcer, gastric Angle of 20 patients with distal gastric ulcer, gastric ulcers in 2 cases, 8 cases of compound ulcer, besides ulcer stove, are all in gastric mucosal swelling and ecchymosis and changes of chronic inflammation, 12 cases of ulcer bleeding in 7 cases of ulcer, gastric ulcer in 5 ca