肝硬化食管胃底静脉曲张的诊治停顿(国外英文资料).docVIP

肝硬化食管胃底静脉曲张的诊治进展(国外英文资料) The progress of the treatment of cirrhosis of the esophagus of the stomach Song ying Unit: the digestive section of the central hospital of xi an city; No. 161 west 5th road, xi an Zip code: 710003; Communication author: songying688@163.com Ruptured esophageal gastric varices bleeding is one of the common gastrointestinal emergency, hemorrhage, early case fatality rate is as high as 30% (1), to send blood rate is as high as 47% 74% (2), so how to prevent varicosity burst bleeding and reduce bleeding rate again for the first time is a hot topic in the research of scholars in recent years. This paper reviews the progress of the diagnosis and treatment of the disease. First, diagnose early Cirrhosis of the liver and the leading causes of upper gastrointestinal bleeding including esophageal gastric varices rupture, portal hypertension gastropathy, liver source ulcer, ectopic varices, gastric antrum capillaries expansion gastrointestinal failure and liver cirrhosis (3). Endoscopy is the gold standard for the diagnosis of varicose veins and their hemorrhage. Emergency gastroscopy can improve the detection rate of hemorrhage, control the first hemorrhage and reduce the occurrence of bleeding, it is the primary treatment method for the hemorrhage of the digestive tract in the cirrhosis. But there is no consensus on the timing of the best diagnosis. At present, it is usually advocated for the endoscopic examination of the area and properties of the hemorrhage after haemorrhage. There are also reports suggesting that the earlier the emergency gastroscopy, the better; Hsu et al. (4) suggests that delayed gastroscopy ( 15 h) is one of the independent risk factors for the death of the gastrointestinal hemorrhage in acute varicose veins. Gross and so on (5) indicate that the timing of the emergency room in the emergency room was chosen from 3-24 h after admission. The latest American guidelines suggest (6) that for patients with suspected acute varicose