Risk Assessment Of Esophageal Variceal Bleeding

PurposeEsophageal variceal bleeding is a common clinical Intensive which is human-induced portal hypertension complications. The observation of this topic by reviewing a number of patients with cirrhosis and esophageal varices and objective examination of clinical indicators, to observe the objective indicators and risk of bleeding, and the relevance of esophageal varices, esophageal varices was found independent risk factors, which determine the prognosis of patients with cirrhosis and esophageal varices in order to provide a theoretical basis for preventive treatment.MethodCollected from January 2000 to January 2010 my Department of Gastroenterology at the hospital a total of 86 cirrhotic patients, detailed records of sex, age, etiology, history of bleeding, spider, mucous membrane bleeding, ascites, with or without spleen palpation large, lower extremity edema and blood routine, liver function, blood glucose, urea nitrogen, prothrombin time, under ultrasound portal vein, splenic vein diameter, thickness of spleen, ascites cases, liver function (Child-Pugh classification), endoscopic The characteristics of the esophageal varices, according to whether patients with bleeding into bleeding group (52 cases) and non-bleeding group (34 cases). Will improve gastroscopy 58 patients were divided into high performance under the endoscopic group (32 cases) and low-risk group (26 cases). Chi-square test were applied for more than one objective indicators discussed in various differences between groups were significant. Finally the statistical regression analysis to observe the correlation between factors, look for bleeding esophageal varices were independent risk factors, and thus the risk of esophageal variceal bleeding to make an objective assessment.ResultA total of 101 cases collected cases, of which 86 patients with complete data were enrolled in this study. ALT, TP, TBIL, GLU, ultrasound to measure the portal vein, splenic vein of kids measuring the thickness of the blood group of the spleen, non-bleeding group were statistically significant. Further non-conditional Logistic regression analysis showed that HB, GLU is an independent risk factor. Endoscopic features of 58 cases grouped according to high-risk group of spider veins, PLT, TP, PT extension of time under ultrasound measurement of the thickness of the lower risk group of spleen were significantly different. Further non-conditional Logistic regression analysis, PLT, spider veins to severe endoscopic independent risk factor for esophageal varices..ConclusionIn summary, this study was retrospective analysis showed that ultrasound can be determined by the portal vein, splenic vein diameter, HB, PT extension of time, HB, spider as cirrhosis and esophageal varices important observed. Platelets are independent risk factors predict the risk of bleeding disease has a certain value. Application of these non-invasive means of checking the measures as predicted, may to a certain extent, reduce the endoscopy, reduce invasive examinations of patients receiving pain, reduce certain medical expenses.