Franco D, Durandy Y, Deporte A, Bismuth H
Lancet. 1977 Jan 29;1(8005):218-20. doi: 10.1016/s0140-6736(77)91015-7.
Emergency fibroscopy revealed bleeding lesions in 84 cirrhotic patients. In patients with moderate or no hepatic failure, the commonest actively bleeding sources were oesophagogastric varices and acute mucosal ulcers associated with the ingestion of anti-inflammatory drugs. In patients with severe hepatic failure, acute mucosal ulcers unrelated to drugs predominated and there was evidence that these were stress-induced erosions.
急诊纤维内镜检查发现84例肝硬化患者存在出血性病变。在中度肝功能衰竭或无肝功能衰竭的患者中，最常见的活动性出血来源是食管胃静脉曲张和与服用抗炎药相关的急性黏膜溃疡。在严重肝功能衰竭的患者中，以与药物无关的急性黏膜溃疡为主，且有证据表明这些是应激性糜烂。
