门静脉高压导致上消化道再出血的诱因分析  

Etiology Analysis of Cirrhotic Upper Gastrointestinal Rebleeding

作　　者：邓黎[1,2] 龙琦[1,2] 王伶俐[1,2] 胡从兵[1,2] 

机构地区：[1]长江大学临床医学院 [2]荆州市第一人民医院肝胆胰外科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2014年第3期19-20,22,共3页Journal of Yangtze University

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 

分 类 号：R657.34[医药卫生—外科学]