食管静脉曲张套扎术后早期再出血的危险因素研究  

Risk factors for early rebleeding after endoscopic esophageal variceal ligation

作　　者：张咩庆[1] 季峰[1] 徐勤伟[1] 许国强[1] 厉有名[1] 

机构地区：[1]浙江大学医学院附属第一医院消化科,310003杭州

出　　处：《浙江医学》2009年第4期432-434,共3页Zhejiang Medical Journal

摘　　要：目的评价肝硬化食管静脉曲张内镜下套扎治疗术（EVL）后早期再出血的危险因素。方法研究131例接受EVL术患者的性别、年龄、肝硬化原因、是否患肝癌、有无分流、断流及脾切除术史、入院前后临床表现、实验室检查结果、影像学结果、胃镜结果等因素对术后早期再出血发生和患者预后的影响，寻找独立危险因素。结果EVL术后早期再出血发生率为9．93％。肝功能Child—Pugh分级、门静脉血栓、凝血酶原时间、血红蛋白为EVL术后早期再出血的独立危险因素。结论EVL术前应采取相应措施积极治疗以减少早期再出血发生。Objective To analyze the risk factors for early rebleeding after endoscopic esophageal variceal ligation（EVL）. Methods The clinical data of 131 cirrhotic patients undergoing EVI were retrospectively analyzed,including the sex,age, etiological factors,history of devascularization or splenectomy,laboratory tests,imaging results,gastroscopic findings and clinical manifestations. Results The incidence rate of early rebleeding after EVL was 9.93%. The Child classification, portal vein thrombosis,prothrombin time and hemoglobin concentration were the independent risk factors for early rebleeding after EVL. Conclusion The results indicate that corresponding measures should be taken to prevent the early rebleeding after endoscopic variceal ligation（EVL）.

关 键 词：食管静脉曲张破裂出血 套扎术 术后早期再出血 危险因素 

分 类 号：R572.205[医药卫生—消化系统] R5[医药卫生—内科学]