【摘要】上消化道出血是肝硬化晚期患者最易出现的严重并发症。此类患者由于其凝血因子合成不足、脾功能亢进、血小板破坏增多,患者常有明显的出血倾向。此外,由于门静脉回流压力增高,一旦发生食管胃底静脉曲张破裂出血,往往出血量大,来势凶猛,短时间内失血量可大于1000 ml或循环失血量大于20%,止血困难、并发症多、死亡率高。

    【关键词】肝硬化;出血;分析

    Liver cirrhosis and upper gastrointestinal hemorrhage 20 example nursing experience

    He Yan

    【Abstract】The upper gastrointestinal hemorrhage is the serious complication which liver cirrhosis later period patient is easiest to appear. Because this kind of patient its hemoglutination factor synthesis insufficiency, the spleen function hyperfunction, the blood platelet destruction increase, patient common obvious hemorrhage tendency. In addition, because the portal vein return pressure advances, once has the esophagus fundus ventriculi varicosity breakage hemorrhage, often leaves the volume of blood to be big, the oncoming force is fierce, in the short time the amount of blood loss may be bigger than 1000 ml or the circulation amounts of blood loss is bigger than 20%, the hematischesis difficulty, the complication are many, the mortality rate is high. ......