摘要
目的探讨非静脉曲张上消化道出血(NVUGIB)临床危险因素,提高对病情转归预见性。方法收集NVUGIB患者临床资料,进行Rockall评分和Blatchford评分,随访患者出院30天内再出血及死亡的转归。结果十二指肠溃疡、胃溃疡、胃癌、贲门粘膜撕裂症是NVUGIB的前四位病因。再出血率6.8%,病死率9.6%。死亡组与生存组的年龄、出血量、基础疾病、呕血、心动过速和Rockall分值差异有统计学意义(P<0.05)。结论年龄、出血量、基础疾病、呕血、心动过速和Rockall分值是NVUGIB死亡的危险因素。
Objective To investigate clinical risk factors for nonvariceal upper gastrointestinal bleeding( NVUGIB) , in order to el-evate the precognition of disease turnover. Methods NVUGIB inpatients’ clinical data were recorded. Rockall score and Blatchford score were calculated. Rebleeding and death in 30 days were Followed-up. Results Duodenal ulcer, duodenal ulcer, gastric cancer and Mallory-Weiss tear were the first four causes of NVUGIB. The mortality and rebleeding rate was 6. 8% and 9. 6%, respectively. Age, volume of bleeding, comorbidity, haematemesis, tachycardia and Rockall score had statistical significance between death group and survival group ( P<0. 05). Conclusion Age, volume of bleeding, comorbidity, haematemesis, tachycardia and Rockall score are the risk factors for NVUGIB death.
出处
《安徽医学》
2014年第11期1500-1502,共3页
Anhui Medical Journal
关键词
非静脉曲张上消化道出血
病因
危险因素
Nonvariceal upper gastrointestinal bleeding
Cause of disease
Risk factor
