摘要
目的探讨心肌梗死(MI)后非静脉曲张性上消化道出血(NVUGIB)输血策略与死亡率的关系。方法将192例患者分为NVUGIB输血对照组(151例,HB<70g/L),MI后NVUGIB输血组(22例,HB<70g/L),扩大的MI后NVUGIB输血组(12例,80g/L>HB≥70g/L),扩大MI后NVUGIB未输血组(7例,80g/L>HB≥70g/L)。结果 HB<70g/L消化道出血经输血治疗,心肌梗死后患者较无心血管疾病患者的死亡率升高,差异有统计学意义(P<0.05)。MI后NVUGIB输血组、扩大的MI后NVUGIB输血组、扩大的MI后NVUGIB未输血组死亡率两两比较差异无明显统计学意义(P>0.05)。结论 MI后NVUGIB患者死亡率高,其输血指征放宽至HB<80g/L患者无明显受益。
Objective To investigate the relationship between transfusion strategies and mortality rate for nonvariceal upper gastrointestinal bleeding（ NVUGIB） after myocardial infarction（ MI） . Methods All 192 pa-tients with NVUGIB were divided into NVUGIB transfusion group（n = 151 ,HB 〈70g/L） ,MI-NVUGIB transfusion group （ n = 22, HB 〈 70g/L） , MI-NVUGIB liberal transfusion group （ n = 12,80g/L 〉 HB ≥70g/L） and MI-NVUGIB liberal not-transfusion group （ n = 7,80g/L 〉 HB≥70g/L）. Results The mortality rate in MI-NVUGIB transfusion group was significantly higher than that in NVUGIB transfusion group（P 〈0. 05） . Comparison of the mortality rate in NVUGIB transfusion group, MI-NVUGIB liberal transfusion group and MI-NVUGIB liberal not-transfusion group were no statistical differeces. Conclusion MI patients have a high mortality after NVUGIB and they have no obvious benefit even the transfusion strategy is relaxed to HB 〈 80g/L.
出处
《湖北科技学院学报（医学版）》
2016年第5期387-389,共3页
Journal of Hubei University of Science and Technology(Medical Sciences)
关键词
消化道出血
心肌梗塞
输血
死亡率
Gastrointestinal bleeding
Myocardial infarction
Transfusion
Mortality rate
