摘要
目的 探讨门静脉高压症食管静脉曲张破裂出血原因。方法 79例门静脉高压症患者分为出血组和非出血组 ,结合临床资料进行t检验和 χ2 检验相关分析。结果 门脉高压症患者的出血可能性与门脉压力和门脉直径、ALB、TBI、DBI、PLT均没有直接的相关性 (P >0 .0 5 ) ,与食管静脉曲张的程度呈正相关 (Pearson列联系数 0 .5 2 8,χ2 >χ0 .0 1,2 ) ,同时与Child分级也呈正相关 (Pearson列联系数 0 .4 2 4 ,χ2 >χ0 .0 5,2 )。结论 门脉高压症患者的出血可能性与食管静脉曲张的程度和Child分级相关 ,定期胃镜和肝功能 (Child分级 )检查 。
Objective\ To determine the clinical potential risk factors on esophageal variceal bleeding in portal hypertension.Methods\ 79 cases of portal hypertension were divided into hemorrhage group and non-hemorrhage group. Combined with clinic indexes,analyzed by t-test and χ~2 relative analysis.Results\ There were no significant correlation between variceal bleeding and the clinical features like portal pressure, portal diameter, ALB, TBI, DBI, and PLT in the cases with portal hypertension(P>(0.05)). Whereas, it had positive relationship with the grade of esophageal varices (Pearson index 0.528, χ~2>χ_(0.01,2)) and (Child′s) grade ( Pearson index 0.424,χ~2>χ_(0.05,2)).Conclusions\ The possibility of variceal bleeding in portal hypertension is relative to the grade of esophageal varices and Child′s grade. Gastroscope and measurement of Child′s grade in time can make it possible for early forecasting of variceal bleeding.
