肝硬化食管胃底静脉曲张破裂出血患者治疗中限制输血量对疗效的影响

Restricting Blood Transfusion and Infusion Quantity Treatment in Liver Cirrhosis and Portal Hypertension and Gastric Esophageal Variceal Bleeding

目的:研究限制输血输液量在肝硬化食管胃底静脉曲张破裂出血患者治疗中的疗效。方法:将98例患者随机分为两组。治疗组(55例)采用限制输血输液量方法进行治疗,同时进行其它常规止血治疗。对照组(43例)采用相对无限制大量输血输液方法治疗,余治疗方法同治疗组。分别观察两组患者24h、48h、72h内出血停止情况和总有效率。结果:治疗组患者24h、48h、72h内出血停止例数和总有效率明显高于对照组患者。P<0.01。结论:限制输血输液量在治疗肝硬化食管胃底静脉曲张破裂出血中的止血率高,其作用明显优于相对无限制输血输液量对其治疗的疗效。

Objective： To investigate the clinical effect of the capacity expansion treatment on restrict blood transfusion and infu- sion quantity in liver cirrhosis and portal hypertension and gastric esophageal variceal bleeding. Methods： The 215 patients were randomly divided into two groups. The patients in treatment group （n=55） were used the restricted blood transfusion and infusion quantity method and carried on other conventional hematischesis treatment. The control group （n=43） used relatively unrestricted massive blood transfusion and infusion method. Other methods of treatment were the same with treatment group. Two groups of patients were investi- gate in 24 hours, 48 hours, 72 hours for hemorrhage stop situation and total efficiency. Results： The cases of hemorrhage stop in 24 hours, 48 hours, 72 hours and the total efficiency in the treatment group were higher than that of control group obviously （P〈0.01）. Conclusion： The restricted blood transfusion and infusion quantity treating liver cirrhosis portal vein hyperbarism hemorrhage hematischesis rate is high and it＇s superior to relatively unrestricted blood transfusion and infusion quantity treatment obviously.