肝硬化门脉高压与消化性溃疡(附65例分析)(Hepatic cirrhosis, portal hypertension and peptic ulcer (analysis of 65 cases)).docVIP
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肝硬化门脉高压与消化性溃疡(附65例分析)(Hepatic cirrhosis, portal hypertension and peptic ulcer (analysis of 65 cases))
肝硬化门脉高压与消化性溃疡(附65例分析)(Hepatic cirrhosis, portal hypertension and peptic ulcer (analysis of 65 cases))
Hepatic cirrhosis, portal hypertension and peptic ulcer (analysis of 65 cases)
Update Date: 2010-10-15 click:
Weidailin
In 308 patients with liver cirrhosis (with upper digestive tract hemorrhage in 38 cases) underwent endoscopy. Results the detection of peptic ulcer in 65 cases, the detection rate of 21.1%, significantly higher than the population of our country from 6.8% to 10% of the incidence of ulcer; 12 cases of ulcer hemorrhage confirmed by endoscopy, 31.6% people accounted for cirrhosis hemorrhage (12/38). The pathogenesis and clinical features of Portal Hypertensive Complicated with peptic ulcer were discussed.
Keywords cirrhosis; portal hypertension; peptic ulcer;
Cirrhosis, portal hypertension, and peptic ulcer are called hepatic ulcers (1). There are very few reports of hepatic ulcer in our country, and it has not been paid enough attention to. From December 1989 to December 1996 we treated 308 cases of patients with liver cirrhosis (including upper gastrointestinal bleeding in 38 cases) underwent gastroscopy, the detection results of 65 cases of peptic ulcer, 12 cases of ulcer bleeding, report as follows now.
1 clinical information
1.1 general data of the 65 cases, 59 cases were male, 6 were female, male to female ratio was 9.8 to 1, the average age is 22~72 years old, 49.2 years old, 52 cases of liver cirrhosis after hepatitis B, 10 cases of alcoholic liver cirrhosis, 3 cases of mixed liver cirrhosis, 12 cases of ulcer bleeding hematemesis melena and clinical manifestations of 4 cases of pure black. The amount of bleeding in 8 cases; 500ml6 cases, 500 cases were 1000ml2 ~ 1000ml4.
1.2 endoscopic all cases have different degrees of esophageal and gastric varices, in this group 65 cases of duodenal ulcer in 35 cases, gastric angle, gastric antrum ulcer 20 cases,
There were 2 cases of gastric ulcer, 8 cases of compound ulcer, and 12 cases of ulcer bleedin
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