摘要
目的:探讨门静脉上消化道再出血的诱因,以指导临床治疗和预防上消化道再出血。方法:对门静脉上消化道出血经内科保守治疗好转出院的患者46例进行1年随访,对复发和未复发患者的年龄、血压、内镜下所见和感染等因素进行比较分析。结果:复发组和未复发组在年龄、血压上差异没有统计学意义(P>0.05),但在内镜下所见和感染上显示统计学差异(P<0.05)。结论:血压、年龄等因素对门脉高压引起的上消化道再出血影响不明显,但再出血的概率受感染因素、内镜结果等因素影响比较明显。
Objective:To analyze the main reasons of the upper gastrointestinal rebleeding of cirrhoticpatients Method:Follow-up for the cirrhotic upper gastrointestinal bleeding patients who were cured had been made for over one year,and the analysis had been made of ages,blood pressure,infection and results of endoscope examination.Results:No obvious differences(P>0.05)can be observed in ages nor blood pressure between the group of recurrence patients and the non-recurrence group.However,infection and endoscope examination can effect the rebleeding rate of the two group of patients(P<0.05).Conclusion:Blood pressure,and age do not show their effects on the rebleeding of the cirrhotic patients,but infection and endoscope examination do.
关键词
门静脉高压
上消化道出血
病因分析
cirrhosis
upper gastrointestinal bleeding
etiology analysis
