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肝源性上消化道出血,是肝硬化常见的三大并发症之一,治疗困难,死亡率高.我们自1989年对28例次肝源性上消化道出血应用垂体后叶素与酚妥拉明联合持续静脉滴注,取得了明显疗效.报告如下.1 临床资料1.1 一般资料 19例中男14例,女5例,年龄17～63岁.所有病人的临床表现及实验室、食道吞钡及B超检查均符合肝硬化门脉高压的诊断.其中血吸虫病肝硬化8例,肝炎后肝硬化8例、混合性肝硬化3例.28例次出血中,呕血为主17例次,便血为主11例次.入院时轻度出血(失血量<500ml)6例次,中度出血(失血量500～1500ml)15例次,重度出血(失血量>
Hepatic upper gastrointestinal bleeding is one of the three most common complication of cirrhosis, which is difficult to treat and has high mortality rate. We applied pituitrin and phenytoin to 28 cases of secondary liver-derived upper gastrointestinal bleeding since 1989 Lamin combined continuous intravenous drip, and achieved significant effect.Report as follows.1 Clinical data 1.1 General information 19 males in 14 cases, 5 females, aged 17 to 63. All patients with clinical manifestations, esophageal swallow Barium and B-ultrasound are in line with the diagnosis of cirrhosis and portal hypertension in which schistosomiasis cirrhosis in 8 cases, hepatitis cirrhosis in 8 cases, mixed cirrhosis in 3. 28 cases of hemorrhage, vomiting mainly in 17 cases, The main blood in the stool was 11 cases, mild bleeding (blood loss <500ml), 6 cases of moderate bleeding (blood loss 500 ~ 1500ml) 15 times, severe bleeding (blood loss>