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上消化道出血是肝硬化门脉高压的常见并发症,既往多考虑为食管下胃底静脉曲张破裂所致,尤其是大出血者,而忽略了亦有非静脉曲张破裂出血引起者。现将我院1998年以来诊治的肝硬化非静脉曲张破裂出血的上消化道出血18例报告如下。1 临床资料1.1 一般资料本组18例,男 15例,女 3例,年龄 28~70岁,均为住院病人,均为在肝硬化的基础上发生呕血、黑便或便血者。其中大出血(出血量>1 000 ml)者 8例,有肝炎病史者 12
Upper gastrointestinal bleeding is a common complication of portal hypertension in patients with cirrhosis, the past due to consider the esophageal varicose veins caused by rupture, especially those with massive bleeding, while ignoring the non-variceal bleeding. Now in our hospital since 1998, diagnosis and treatment of cirrhosis of non-variceal bleeding in upper gastrointestinal bleeding in 18 cases reported as follows. 1 Clinical data 1.1 General Information The group of 18 patients, 15 males and 3 females, aged 28 to 70 years, are hospitalized patients, are based on the liver cirrhosis vomiting, melena or blood in the stool. One of the major bleeding (bleeding> 1000 ml) in 8 cases, a history of hepatitis 12