50例门静脉高压症患者胃肠道出血后的急诊内镜检查
Emergency endoscopy after gastrointestinal haemorrhage in 50 patients with portal hypertension.
作者信息
Waldram R, Davis M, Nunnerley H, Williams R
出版信息
Br Med J. 1974 Oct 12;4(5936):94-6. doi: 10.1136/bmj.4.5936.94.
Abstract
Endoscopy was carried out in 50 patients with oesophageal varices within 24 hours of a major haematemesis or melaena. Sources of bleeding were identified in 42 of the cases and in only 19 patients was bleeding due to oesophageal varices. Bleeding from gastric varices was present in 11 patients, and a variety of acute and chronic lesions made up the remainder. In contrast with previous series haemorrhage from erosive gastric lesions was seen in only five patients and was no more common in 23 patients with alcoholic cirrhosis than in the group as a whole.
摘要
对50例食管静脉曲张患者在发生严重呕血或黑便后24小时内进行了内镜检查。42例患者明确了出血来源，且仅19例患者的出血是由食管静脉曲张所致。11例患者存在胃静脉曲张出血，其余患者既有急性病变也有慢性病变。与之前的系列研究不同，仅5例患者出现糜烂性胃病变出血，在23例酒精性肝硬化患者中，这种情况并不比整个研究组更常见。
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本文引用的文献
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Sources of upper gastrointestinal bleeding in patients with liver cirrhosis and large esophagogastric varices.肝硬化合并大食管胃静脉曲张患者上消化道出血的来源
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