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预测及处理肝硬化食管曲张静脉出血的临床应用研究

田蕾 夏冰

河北医学Issue(3):400-402,3.
河北医学Issue(3):400-402,3.DOI:10.3969/j.issn.1006-6233.2014.03.018

预测及处理肝硬化食管曲张静脉出血的临床应用研究

The Clinical Research on Risk Predict and Treatment of Esophageal Varices Bleeding in Patients with Liver Cirrhosis

田蕾 1夏冰1

作者信息

  • 1. 武汉大学中南医院 /武汉市第十一医院,湖北 武汉 430015
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摘要

Abstract

Objective:To analyse the risk factors of esophageal varices bleeding in patients with liver cirrhosis, and to put forward reasonable and effective way to predict and treatment for the disease .Method:80 patients with liver cirrhosis in our hospital since 2011 , according to bleeding in patients ,They were divid-ed into two groups , 48 patients in bleeding group and the other 32 patients in non-bleeding group .Two groups of patients were tested for endoscopy and abdominal ultrasound , measure portal vein diameter and he-modynamic parameters , then compared test results of two groups , and then analyzed the factors that may lead to bleeding.Patients in bleeding group were treated with variceal ligation and injection sclerotherapy .Result:The variceal red signs appeared rate was higher in bleeding group compare with non-bleeding group, Portal, splenic vein and left gastric vein diameter was significantly increased in bleeding group compare with non -bleeding group , the portal and splenic vein maximum flow was lower in bleeding group than in non-bleeding group.Conclusion:Endoscopic combined with ultrasonography can predict EVB , red sign and increased di-ameter of portal vein , splenic vein and left gastric vein ,as well as increased maximum flow velocity in portal vein and splenic vein can be used as a basis for prediction ,has a certain significance for subsequent clinical prediction of EVB .

关键词

肝硬化/食管曲张静脉出血/预测

Key words

Liver cirrhosis/Esophageal varices bleeding/Predict

引用本文复制引用

田蕾,夏冰..预测及处理肝硬化食管曲张静脉出血的临床应用研究[J].河北医学,2014,(3):400-402,3.

河北医学

OACSTPCD

1006-6233

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