Massive Hemorrhage from Varices of the Duodenal Loop in a Cirrhotic Patient1
Massive Hemorrhage from Varices of the Duodenal Loop in a Cirrhotic Patient1
复制标题
肝硬化患者十二指肠环静脉曲张导致大出血1
DOI：
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发表时间：
1963
期刊：
影响因子：
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通讯作者：
T. C. Max
中科院分区：
文献类型：
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作者：
L. Perchik;T. C. Max
消化道大出血是一个诊断和治疗上的难题。当出血是由于静脉曲张，他们通常是胃或食管的位置。我们最近有机会研究一个已知患有食管静脉曲张至少三年的病人，在这个病人中，十二指肠静脉曲张，通过钡餐检查和脾门静脉造影很好地证实，是导致死亡的出血的主要原因。病例报告这位65岁的白色男子在1959年6月第一次被收治到斯特朗纪念医院，在三天的黑色焦油状粪便之后。有长期饮酒史。体格检查显示肝脾肿大。粪便和胃吸出物均为强愈创木酚阳性。入院时红细胞压积为30。患者继续经直肠输血，在接下来的几天内需要输注6个单位的全血。肝功能检查显示肝细胞功能障碍。一个uppe.
Massive hemorrhage from the alimentary tract in a cirrhotic patient presents a difficult diagnostic and therapeutic problem. When the bleeding is due to varices they are usually either gastric or esophageal in location. We have recently had the opportunity to study a patient known to have esophageal varices for at least three years, in whom a duodenal varix, well demonstrated by barium meal examination and splenoportography, was largely responsible for the hemorrhage that led to death. Case Report This 65-year-old white man was first admitted to Strong Memorial Hospital in June 1959, after three days of black tarry stools. A long history of alcohol consumption was elicited. Physical examination demonstrated hepatosplenomegaly. Stool and gastric aspirant were strongly guaiac-positive. Hematocrit at admission was 30. The patient continued to pass blood per rectum and required transfusion with 6 units of whole blood over the next few days. Liver function tests demonstrated hepatocellular dysfunction. An uppe...