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呕血

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It suggested that congenital hepatic fibrosis should be suspected in patients with symptoms or signs of portal hypertension; but could also masquerade in as recurrent fever without hematemesis.

因此在有肝门脉高血压症状或徵象的孩童应怀疑是否有先天性肝纤维化症,而且先天性肝纤维化症也可以表现出反覆性的发烧而没有呕血的症状。

Cases with normal pathology ,and 3cases with cirrhosis.43 cases followed up from 6 to 180 month,withoutvarices bleeding and melanism.

其中49肝脏活检经过病理证实无肝硬化表现,3例为轻、中度肝硬变。随访43例,随访时间6~180月,期间未发生呕血黑便等症状。

The main postoperative complications were substernal pain and foreign body sensation (81.3%), gastroesophageal reflux (39.7%), hematemesis (25.9%),displacement of stent hiccup(3.4%).

术后主要并发症为:胸骨后疼痛及异物感47例(81.0%),胃食管反流23例(39.7%),呕血15例(25.9%),呃逆2例(3.4%),食管再狭窄13例(22.4%),支架移位15例(25.9%)等。

Main and clinical expression is haematemesis and black, companion has different rate all round fail circularly.

主要临床表现为呕血和黑便,伴有不同程度的四周循环衰竭。

Methods From July 2001 to August 2002, eighty-one patients wi th haematemesis and/or hematochezia diagnosed as peptic ulcer by immediate endos copy were divided into two groups based on Forrest grading, 41 were treated with injection therapy; other 40 with conservative therapy only.

选自 2 0 0 1年 7月至 2 0 0 2年 8月因呕血和黑便入院,经紧急内镜检查确诊为溃疡性出血患者 81例,溃疡出血按Forrest镜下表现分级,内镜注射止血治疗组 4 1例,内科治疗组 4 0例。

Results The effect of intervention chemoembolization was remarkable on the symptom of hematemesis or hematochezia,the rate of radical cure resection reached 100%,the contrast group reached 55.36%,palliative resection reached 28.57%,transition 16.07%.

结果 胃动脉介入化疗栓塞后对进展期胃癌及合并呕血、便血的效果显著,根治性切除率达100%,对照治疗组根治性切除率达55.36%,姑息性切除术28.57%,转流术16.07%。

Results The effect of intervention chemoembolization was remarkable on the symptom of hematemesis or hematochezia,the rate of radical cure resection reached 100%,the contrast group reached 55.36%,palliative resection reached 28.57%,transition 16.07%.

结果 胃动脉介入化疗栓塞后对进展期胃癌及合并呕血、便血的效果显著,根治性切除率达100%,对照组根治性切除率达55.36%,姑息性切除术28.57%,转流术16.07%。

Methods 91children with congenital malrotation of intestine were treated by operation in our hospital from January 1978 to February 2007. 74 cases were male and 17 were female.

男74例,女17例,29例(31.8%)在新生儿期出现症状,主要表现呕吐,上腹痛,伴中肠扭转者尚有腹胀,压痛;肠坏死者可呕血或便血。

Results The most common symptom was melena in four cases (including one case with hematemesis). Upper abdominal pain occurred in one case, and one case's mass was detected under gastroscopy. All the six cases underwent surgical operation and were confirmed by immunohistochemistry. Partial gastrectomy was performed in four cases, distal gastric curative resection in one case, and local wedgy resection in one case. All the cases survived after operation.

结果 以黑便为首发症状4例(其中1例伴呕血);上腹疼痛1例;1例行胃镜检查时发现;全部病例均经手术治疗,切除标本经病理检查及免疫组化证实;4例行胃大部分切除术(其中2例行近端胃大部分切除+幽门成形术,2例行远端胃大部分切除术),1例行远端胃癌根治术,1例行病灶楔形切除术。

TreatmentGeneral considerations. All patients with UGB should be evaluated for signs and symptoms of hemodynamic instability and active hemorrhage (i.e., hypotension, tachycardia, hematemesis, melena, and a precipitous drop in hemoglobin concentrations).

治疗概论。所有上消化道出血之患者应评估其血液流动不稳定和活耀性出血之讯号和症状(即,低血压,心动过速,呕血,黑便,以及血红蛋白浓度直线下降)。

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