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目的 :探讨肝硬化患者消化性溃疡的发病情况和影响因素 ,以及在肝硬化上消化道出血中的地位。方法 :对 2 0 4例肝硬化患者行胃镜检查判断消化性溃疡 (PU )的发病情况 ,并和 10 0例正常对照组比较。结果 :2 0 4例肝硬化患者伴PU45例 (2 2 .5 % )与正常对照组伴PU5例 (5 % ) ;比较明显增加 (P <0 .0 1) ;年龄、性别、肝功能状态与肝硬化患者消化性溃疡无关 (P >0 .0 5 ) ;肝硬化消化性溃疡的症状多不典型 ,上消化道出血的原因PU、EV破裂分别为 2 1.3%、44 .3%。结论 :肝硬化患者伴PU明显增加 ,PU是肝硬化上消化道出血的主要原因之一。
Objective: To investigate the incidence and influencing factors of peptic ulcer in patients with liver cirrhosis and its role in upper gastrointestinal bleeding in cirrhosis. Methods: Gastroscopy was used to determine the incidence of peptic ulcer (PU) in 204 patients with liver cirrhosis and compared with 100 normal controls. Results: Of the 204 patients with cirrhosis, PU (45.5%) had PU (5%) compared with the normal control group (P <0.01), and the age, gender and liver function status (P> 0.05). The symptoms of peptic ulcer of liver cirrhosis were mostly atypical. The cause of upper gastrointestinal bleeding was PU and EV rupture were 21.3% and 44.3% respectively. Conclusion: Patients with liver cirrhosis with PU significantly increased, PU is one of the main causes of cirrhosis of upper gastrointestinal bleeding.