肝硬化合并非静脉曲张性上消化道出血临床分析

目的分析肝硬化合并非静脉曲张性上消化道出血临床特征。方法选取本院收治的肝硬化患者共92例作为研究对象,其中合并非静脉曲张性上消化道出血的患者共49例作为A组,合并静脉曲张性上消化道出血的患者共43例作为B组,分析两组的临床特征以及并发症发生情况。结果A组患者的呕血发生率为42.86%,低于B组的67.44%,组间差异有统计学意义(P<0.05);A组患者的呕吐发生率为16.33%,B组为4.65%,差异值无统计学意义(P>0.05);A组患者的并发症发生率为18.37%,显著高于B组的4.65%,组间差异有统计学意义(P<0.05)。结论肝硬化合并非静脉曲张性上消化道出血的主要临床症状表现为咖啡样呕吐物,且出现高血压、冠心病等并发症的几率较高,而肝硬化合并静脉曲张性上消化道出血的主要临床症状表现为呕血,并发症的发生率较低,在临床治疗过程中,应首先通过内镜检查明确患者的具体情况,并据此采取针对性的措施进行治疗。

Clinical Analysis of Cirrhosis With Non-variceal Upper Gastrointestinal Bleeding

Objective To analyze the clinical characteristics of cirrhosis with non-variceal upper gastrointestinal bleeding.Methods Ninety-two patients with cirrhosis in our hospital were selected as the research object.49 patients with non-variceal upper gastrointestinal bleeding were selected as group A,43 patients with variceal upper gastrointestinal bleeding were selected as group B.The clinical characteristics and complications of the two groups were analyzed.Results The incidence of hematemesis in group A was 42.86%,significantly lower than that in group B(67.44%).There were significant differences between groups(P<0.05);The incidence of vomiting was 16.33%in group A and 4.65%in group B,with no significant difference(P>0.05);the incidence of complications in group A was 18.37%,significantly higher than that in group B(4.65%,P<0.05).There was significant difference between them,and the difference was statistically significant(P<0.05).Conclusion The main clinical symptoms of liver cirrhosis complicated with non-variceal upper gastrointestinal bleeding are caffeine vomiting,and the incidence of complications such as hypertension and coronary heart disease is higher.The main clinical symptoms of liver cirrhosis complicated with variceal upper gastrointestinal bleeding are hematemesis,and the incidence of complications is lower.In the course of clinical treatment,endoscopy should be used first.To confirm the specific conditions of patients,and accordingly take targeted measures for treatment.