肝硬化合并非静脉曲张性上消化道出血临床研究.docVIP

精品论文 参考文献 肝硬化合并非静脉曲张性上消化道出血临床研究 四川省达州市宣汉县第三人民医院 636150 【摘 要】目的 探讨肝硬化合并非静脉曲张性上消化道出血病患的临床特征。方法 分别选取我院收治的肝硬化合并非静脉曲张性上消化道出血、肝硬化合并静脉曲张性上消化道出血、非肝硬化患者各120例，简称为第一组、第二组、第三组，收治时间为2013年1月至2016年1月。分析三组病患的临床特征与预后。结果 ①第一组的输血量、血尿素氮浓度均大于第二组，对比有统计学意义（Plt;0.05）。②第一组患者的门静脉血栓形成发生率为5.00%，第二组为20.00%，对比有统计学意义（Plt;0.05）。③两组患者的便血、呕血发生率对比无统计学意义（Pgt;0.05）④第二组患者的再出血率高于第一组、第三组，对比有统计学意义（Plt;0.05）。结论 肝硬化合并非静脉曲张性上消化道出血可引起多种并发症，例如冠心病、高血压等，临床要及时对患者采取治疗措施，改善预后。 【关键词】上消化道出血；非静脉曲张；肝硬化 Abstract：Objective Discussion cirrhosis complicated non-clinical features of upper gastrointestinal bleeding in patients with variceal upper.Methods Our hospital were selected cirrhotic patients with non-variceal upper gastrointestinal bleeding，liver cirrhosis combined variceal upper gastrointestinal hemorrhage，120 cases of non-cirrhotic patients each，referred to as the first group，the second group，the third group，admitted time is from January 2014 to January 2016.Analysis of the three groups of patients with clinical features and prognosis. Results ① first group of blood transfusion，blood urea nitrogen concentrations were greater than the second group，the comparison was statistically significant（P lt;0.05）.② first group of patients with portal vein thrombosis rate of 5.00% is formed，the second group was 20.00%，compared to statistically significant（P lt;0.05）.③ two groups of patients in the stool，vomiting incidence in no significant difference（Pgt; 0.05）rebleeding ④ second group of patients was higher than that of the first group，the third group，the comparison was statistically significant（P lt;0.05）.Conclusion Cirrhosis can cause gastrointestinal bleeding in patients with non-variceal upper variety of complications，such as coronary heart disease，high blood pressure，clinical to take timely treatment for patients and improve the prognosis. Key words：Upper gastrointestinal bleeding；nonvariceal；cirrhosis 【中图分类号】R573.2【文献标识码】A【文章编号】2096-0867（2016）-07-014-02 就肝硬化患者而言，最常见的并发症就是上消化道出血，其中部分患者是因食管静脉曲张破裂所致，也有部分患者因其他影响因素所