Analysis Of112Cases Of Upper Gastrointestinal Bleeding In Cirrhosis Etiology

Objective：Study and explore the characteristics and causes of the incidence ofupper gastrointestinal bleeding in patients with cirrhosis of the liver, in order tofurther improve the understanding of liver cirrhosis with upper gastrointestinalbleeding, strengthening the prevention and control.Methods：Retrospectively from January2009to January2011, the GeneralHospital of Shenyang Military Region digestion and internal medicine inpatient casesinformation is complete, clear diagnosis of112patients with upper gastrointestinalbleeding in cirrhosis of the liver,112patients with gender, age, cause of cirrhosis,the first symptom of upper gastrointestinal bleeding, the onset of the season, theChild-Pugh classification of liver function, liver ultrasonography prompted the portalvein width of general admission organize and analysis.And endoscopy resultssummarized understand the main upper gastrointestinal bleeding in cirrhosis of theliver and in patients with esophageal varices degree were liver function Child-pughclassification with esophageal and gastric varices and portal hypertension gastropathyrelationship between the relationship between the different age groups and esophagealand gastric varices and portal hypertensive gastropathy, and then understand that themajor cause of upper gastrointestinal bleeding in patients with cirrhosis of the liverand disease characteristics.Results：1.Upper gastrointestinal bleeding in patients with cirrhosis of the livermales significantly more than females, the male to female ratio of4.89:1,fluctuations in the age of26to83-year-old,41-year-old to65-year-old is the peakage of onset.2.The cause of cirrhosis mainly to viral hepatitis caused by cirrhosis ofthe liver, which in the majority of patients with hepatitis B, followed by alcoholiccirrhosis.3. The majority of patients with gastrointestinal bleeding initial symptomswere hematemesis, accounting for58.93%, and a higher prevalence in spring (March, April, May) and winter (December, January, February).4. Causes ofhemorrhage of upper digestive tract caused by rupture of esophageal and gastricvarices hemorrhage in the most, a total of80cases, with71.43%, followed by portalhypertensive gastropathy, accounting for23.21%(26/112),6cases of hepatogeniculcer, accounting for5.36%, dominated by gastric ulcers.5. The incidence of patientswith esophageal varices extent the existence of significant differences between theChild classification of liver function; statistical significance between the Childclassification of liver function and portal hypertensive gastropathy; age group ofpatients with esophageal and gastric varices and portal hypertensive gastropathyoccurred between there are statistically significant, there are significant differences.Conclusions：1. There are gender differences in patients with uppergastrointestinal bleeding, men were more than women and more common in olderpatients.2. Main causes of cirrhosis due to viral hepatitis, hepatitis B, followed by livercirrhosis caused by chronic alcoholism.3. Cirrhosis with the incidence of upper gastrointestinal bleeding have a highincidence of seasonal, spring and winter.4. Gastroesophageal variceal bleeding is the main cause of liver cirrhosiscomplicated with upper digestive tract hemorrhage, followed by portal hypertensivegastropathy and hepatogenic ulcer.5. Esophageal varices degree of liver function Child classification betweensignificant differences; certain correlation exists between the Child classification ofliver function and portal hypertensive gastropathy; age group of patients withesophageal varices degree of the difference between the occurrence of portalhypertensive gastropathy were significant.