Liver cirrhosis and upper gastrointestinal bleeding

        Portal hypertension is the most common group of patients with cirrhosis of the liver syndrome, often secondary to esophageal and gastric varices. Once the varicose vein rupture, can cause severe acute upper gastrointestinal bleeding, often life-threatening, is one of the most serious complications of cirrhosis.

Common clinical manifestations:

(a) the hematemesis and black

        As a small amount of bleeding or bleeding is slow, pyloric bleeding more than only black and also no hematemesis, such as bleeding and fast or large amount of bleeding, bleeding or below the pylorus for hematemesis. With hematemesis melena, hematemesis and melena may not be accompanied by.

        (two) hemorrhagic peripheral circulatory failure

For weakness, dizziness, thirst, nausea, oliguria or anuria, amaurosis or syncope, skin pale clammy, pulse rate and blood pressure decreased.

        (three) fever

Most patients have low fever, generally not more than 38.5.

        (four) 

No matter what the production of nitrogen in patients with cirrhosis. Are likely to induce hepatic encephalopathy.

        (five) the disease can be significantly deteriorated after hemorrhage

        It is characterized by fatigue, anorexia, abdominal distension, nausea and vomiting, mental deterioration, oliguria, jaundice, ascites increased. Blood coagulation disorder, prothrombin activity decreased, liver function further deterioration or failure, spleen hemorrhage can be reduced. Increased blood ammonia, sleep is wrong, and even the presence of hepatic encephalopathy, etc..