摘要
Abstract
Objective To analyze the clinical characteristics of patients with liver cirrhosis complicated with non variceal upper gastrointestinal bleeding. Method From March 2015 to December 2016, 180 patients from the Second Affiliated Hospital of Harbin Medical University with liver cirrhosis complicated with upper gastrointestinal bleeding were divided into varicose vein group (135 cases) and non varicose vein group (45 cases), with the basic information of patients, etiology of cirrhosis, complication, Child-Pugh classification of liver function, clinical manifestations, blood transfusion, laboratory indexes, underlying diseases, risk factors of two groups were comparative analyzed. Result 40 cases of (88.95%) male patients in non varicose vein group, with an average age of (52.8±12.7) years old, the main liver cirrhosis due to HBV cirrhosis. The proportion of haematemesis patients and the proportion of history of previous gastrointestinal bleeding in non varicose vein group were lower than that of varicose vein group (P<0.05), and the proportion of coffee vomit, the amount of blood transfusion and blood urea nitrogen, the proportion of hypertension and cardiovascular, the proportion in non steroidal anti-inflammatory drugs and anticoagulant drug users were higher than those in varicose vein group (P<0.05). Conclusion Comparison of variceal bleeding with cirrhosis of the liver, non variceal hemorrhage mainly manifested as melena and hematemesis, often accompanied with hypertension and cardiovascular disease, non steroidal anti-inflammatory drugs and anticoagulants may be one of the risk factors for the occurrence of non variceal upper gastrointestinal bleeding in patients with cirrhosis.关键词
肝硬化/非静脉曲张/上消化道出血/临床特征Key words
Liver cirrhosis/Non varicose vein/Upper gastrointestinal bleeding/Clinical characteristics
