门静脉高压症患者消化道出血的相关危险因素分析  

Analysis on Characteristics of Alimentary Tract Hemorrhage and Operative Effect on Portal Hypertensive Patients

作　　者：许勇[1] 

机构地区：[1]浙江省杭州市萧山区第四人民医院外二科,浙江杭州311225

出　　处：《中国现代医生》2011年第35期47-48,51,共3页China Modern Doctor

摘　　要：目的探讨门静脉高压症患者消化道出血的临床特点及危险因素。方法选择我科2006年1月～2011年1月收治的门脉高压症患者230例，按有无消化道出血病史分为出血组和无出血组，比较两组患者的病史、手术时间和疗效。结果患者的性别、静脉曲张程度、红色征、血小板计数、住院时间两组间比较，差异有统计学意义（P〈0．05）。出血〉1年的患者其住院时间、门静脉压降幅、并发症、近期死亡率与出血〈1年者比较，差异有统计学意义（P〈0．05）.结论男性、静脉曲张程度、红色征、血小板计数为消化道出血的危险因素，患者应在危险因素存在时及时手术治疗。有消化道出血史的患者，应在1年内进行手术。Objective To discuss the clinical characteristics of alimentary tract hemorrhage on portal hypertension patients. Methods Selected 230 portal hypertension patients treated in hospitals from January 2006 to January 2011,divided them into hemorrhage group and non-hemorrhage group according to hemorrhage history,and compared two groups＇ medical record,surgery time and efficacy. Restilts Study showed that it was different in gender,degree of variation,red-color sign and blood platelets count,length of stay when compared between the two groups （P〈0.05）. The length of stay,the decrease amplitude of free portal pressure,complications and the death rate were different between 1 year group and beyond 1 year group （P〈0.05）. Conclusion Male,degree of variation,red-color sign,blood platelet count are risk factors,and patients should receive surgery under this condition. The patients with hemorrhage history are suggested to have surgery within 1 year.

关 键 词：门静脉高血压 断流术 消化道出血 

分 类 号：R657.34[医药卫生—外科学]