上消化道出血患者检测血清前白蛋白的临床意义

Clinic Significance of Serum Pre-albumin was Determined in the Patients with Upper Alimentary Tract Haemorrhage

目的:探讨血清前白蛋白在上消化道出血中的意义。方法:对32例肝硬化并发上消化道出血患者及30例胃十二指肠疾病并发上消化道出血患者进行血清前白蛋白(PA)测定,并与34例正常对照相比较。结果:肝硬化并发上消化道出血患者血清PA低于胃十二指肠疾病并发上消化道出血者及正常对照组,且肝硬化组PA分布与后两者无重迭;Child分级间PA有显著差异。结论:上消化道出血患者检测血清PA有助于肝硬化并发出血的诊断,并可帮助判断病情及估计预后。

Objective:To study the clinic significance of serum pre - albumin (PA) in the patients with upper alimentary tract haemorrhage. Methods: The contents of serum PA was determined in 32 cases with liver cirrhe-sis complicated by upper alimentary tract haemorrhage, 30 cases with gastroduodenal disease complicated by haemorrhage, and 34 cases normal adults.Results:The mean values of serum PA in first group was lower than latter two groups significantly and there was no overlap of serum PA between the former and latters. There was obrious different among Child A. Child B and Child C.Conclusion:To determine the serum PA in the patients with upper alimentary tract haemorrhage might be used to diagnose the haemorrhage caused by liver cirrhosis, and to juoge patient's condition and to estimate prognosis.