摘要
探讨血清-腹水白蛋白梯度(SAAG)及测量门静脉直径在门脉高压性食管静脉曲张破裂出血预测中的价值。62例肝硬化腹水患者,其SAAG均≥11g/L符合门脉高压性腹水。其中并发食管静脉曲张破裂出血22例,非出血者40例,肝硬化并发食管静脉曲张破裂出血组之SAAG(21.34g/L±2.46g/L)及门静脉内径(1.43cm±0.12cm)均高于非出血组(15.57g/L±1.7g/L,1.08cm±0.14cm)差异均有统计学意义。因此认为血清-腹水白蛋白梯度及门静脉内径对预测门脉高压性食管静脉破裂出血有重要的临床价值。
To examine the relationship between serum- ascites albumin concentration gradient （SAAG） measurements and the occurrence of gastrointestinal （GI） haemorrhage in patients with cirrhosis and ascites. Albumin levels in the serum and ascites and esophageal varices （EV） and portal vein diameter were studied, and the correlation berween these parameters was assessed in 62 patients with cirrhosis detected. In patients with cirrhosis and ascites, the presence of EV and GI is associated with high SAAG. The level of SAAG in patients with GI bleeding was 21.34 g/L ± 2.46g/L and in patients without GI bleeding was 15.57g/L ± 1.7g/L. The diameter of portal vein in patients with GI bleeding was 1.43 cm ± 0.12cm and in patients without GI bleeding was 1.08cm±0.14cm. There was a statistical significance between them. The high levdl of SAAG and great diameter of portal vein were useful means to predict the presence of EV and GI in patients with cirrhosis and ascites.
出处
《临床肝胆病杂志》
CAS
2006年第1期45-46,共2页
Journal of Clinical Hepatology
