消化性溃疡出血的FORREST分级及其与预后关系

THE RELATIONSHIP BETWEEN THE REBLEEDING AND FORREST'S CLASSIFICATION IN PEPTIC ULCER BLEEDING

本文采用Ｆｏｒｒｅｓｔ分级前瞻性的调查国人消化性溃疡出血与再出血的关系。结果２６３例中Ⅰａ、Ⅰｂ、Ⅱａ、Ⅱｂ和Ⅲ级各占２．７、１４．４、８．０、１２．９和６２．０％；其再出血率分别是１００、４７、５７、１４和１．８％。认为消化溃疡出血的内镜下征象可提供预后信息；Ｆｏｒｒｅｓｔ分级在实践上是可行的。

This study was prospectively investigated the relationship between the endoscopic appearances and rebleeding in 263 peptic ulcer patients.Endoscopy was performed within 24 hours of admission to the hospital.The activity of bleeding from ulcers was classified in accordane with the endoscopic criteria proposed by forrest.Two hundred sixty three patients was classified as Ia (arterial spurting) 7(2.7%),Ib(oozing) 38(14.4%),Ⅱ a (non-bleeding visible vessel) 21 (8.0%),Ⅱ b (adherent clot) 34(12.9%) and Ⅲ (lesion without stigmata of recent bleeding) 163 (62.0%),respecively.Fortyfive of 263 patients had rebleeding,included Ia 7(100%),Ib 18(47%),Ⅱ a 12(57%),Ⅱ b 5(14%) and Ⅲ 3(1.8%),respectively.We concluded that from the endoscopic appearances of bleeding ulcers,the clinician may predict the prognosis of hemorrhage and have a correct choice of management,and Forrest's classification is useful in practice.