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分析肝硬化门脉高压症下食管静脉曲张破裂出血的危险因素

Analysis of Risk Factors for Esophageal Variceal Bleeding in Cirrhotic Patients with Portal Hypertension
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摘要 目的分析肝硬化门脉高压症下食管静脉曲张破裂出血的危险因素。方法收集我院在3年内收治的58例肝硬化门脉高压症患者,对其临床资料进行收集,和另40例未出现食管静脉曲张破裂出血患者的一般资料进行对比和分析。结果和未出血患者相比,出血患者的门静脉主干内径、中性粒细胞、食管静脉曲张分级均明显高于对照组,同时出血患者的白蛋白、血小板计数均明显低于对照组,差异有统计学意义(P<0.05)。结论门静脉内径、食管静脉曲张分级,中性粒细胞、血小板计数和白蛋白是导致肝硬化门脉高压症下食管静脉曲张破裂出血的主要危险因素。 Objective To analyze the risk factors of esophageal variceal bleeding in cirrhotic portal hypertension. Methods 58 patients with portal hypertension were enrolled in this study. The clinical data of all patients were collected and compared with the other 40 cases without esophageal variceal bleeding. Results Compared with the untreated patients, the diameter of the portal vein, neutrophils and esophageal varices were significantly higher in the hemorrhagic patients than in the control group. The albumin and platelet count of the bleeding patients were significantly lower than those of the control group. Significant(P〈0.05). Conclusion The portal vein diameter, esophageal variceal grade, neutrophils, platelet count and albumin are the main risk factors for esophageal variceal bleeding after cirrhosis of portal hypertension.
作者 李广忠 LI Guang-zhong(The People's Hospital of Daxinganling District, Daxinganling, Heilongjiang, 165000)
出处 《智慧健康》 2018年第7期91-92,126,共3页 Smart Healthcare
关键词 肝硬化门脉高压症 食管静脉曲张 破裂出血 危险因素 Cirrhosis of the portal hypertension Esophageal varices Rupture of bleeding Risk factors
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