关键词: 晚期血吸虫病, 化道出血, 胃十二指肠病变, 食道胃底静脉, 门脉高压性胃炎, 胃粘膜损伤, 复发出血, 血吸虫病防治, 肝功能, 外科学

Abstract: Among 4 950 advanced schistosomiasis patients examined, 709 (14.3%) had upper gastrointestinal bleeding, and in patients who had been treated with splenectomy, 532 presented history of bleeding. Of the 338 cases with a history of bleeding, 268(79.3%) ceased bleeding after operation and 70 cases (.20.7%) bled again. In 194 cases (7%) who had no history of bleeding before operation, bleeding occurred, suggesting that simple splenectomy has certain effect in preventing upper gastrointestinal bleeding, but the incidence of bleeding is higher in those who had a history of bleeding before operation. Gastrofibroscopic examinations in 50 cases who bled recently indicated that 74% of the patients had gastro-duodenal lesion as a concomitant disease.Prevention and treatment of upper gastrointestinal bleeding of advanced schisto somiasis patients are discussed.