Abstract:Objective:To analyze the cause of in-hospital death from variceal bleeding in cirrhotic patients with portal hypertension.
Methods :The clinical data of variceal bleeding in cirrhotic patients with portal hypertension admitted in recent three years to our hospital were analyzed retrospectively.
Results:Among the186 cases of variceal bleeding, 130 patients received elective operation, and 3 of them（2.31 %） died from hepatic failure or other complications; 28 patients received salvage surgery and 5 of them（17.86 %）died from hepatic failure or the other complications; 28 patients had nonoperative treatment, and 16 died, of which 12 patients died from uncontrolled bleeding.
Conclusions:Massive bleeding uncontrolled by nonoperative treatment and failure to perform prompt operation are the chief reasons for inhospital death in portal hypertensive patients with ruptured bleeding gastroesophageal varices. Prompt emergency surgery is of vital importance in decreasing mortality from massive bleeding in these portal hypertension patients.