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[慢性肝病中胃肠道出血的原因]

[Causes of gastrointestinal hemorrhages in chronic liver diseases].

作者信息

Truckenbrodt J, Lehmann L, Heiner M, Bosseckert H, Kunath H, Reinhardt M, Eitner K, Koppe P, Fritze C, Jorke D

出版信息

Dtsch Z Verdau Stoffwechselkr. 1985;45(4):160-6.

PMID:3878772
Abstract

356 patients with chronic liver diseases hospitalized in our clinic during the period from January 1, 1981, to December 12, 1983, were enrolled in a retrospective study. Of them 55 had been admitted for acute gastrointestinal hemorrhage. It appears that gastroscopy is the only method allowing to localize the origin of the bleeding with high certainty. Bleedings from varices (45%) and ulcers or erosions (22%) were seen most frequently. With regard to case history, clinic, paraclinic and prognosis, no significant differences were found between these various origins of the hemorrhages. Also it is remarkable that all bleedings occur with higher frequency in portal hypertension.

摘要

1981年1月1日至1983年12月12日期间在我院门诊住院的356例慢性肝病患者被纳入一项回顾性研究。其中55例因急性胃肠道出血入院。胃镜检查似乎是唯一能够高度准确地确定出血部位的方法。静脉曲张出血(45%)和溃疡或糜烂出血(22%)最为常见。就病史、临床症状、辅助检查和预后而言,这些不同出血原因之间未发现显著差异。同样值得注意的是,所有出血在门静脉高压时发生频率更高。

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