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本研究目的在于探索导致肝硬化食道静脉出血的各种危险因素。病例来源于我院1983～1985年收治的部分门脉性肝硬化合并食道静脉曲张患者共100例,按其是否伴有食道静脉曲张出血分为出血组和非出血组各50例,对导致出血的各种危险因素进行了回顾性调查。最后本文提出了引起静脉曲张出血的始发危险因素是门脉高压的程度;门静脉游离压>3.49Kpo,或B超探测门静脉(总干)直径>1.9cm,脾静脉(脾门处)>1.3cm。促发因素;男性,年龄>40岁,合并肺部感染,脾功能亢进(血色素<70g/L,白细胞计数<5×10~9/L,血小板<60×10~9/L)。具备上述始发危险因素二项和促发危险因素二项以上的食道静脉曲张患者,提示出血高度可能性。建议用B型超声探测门静脉、脾静脉和肠系膜上静脉直径作为判断门静脉压的一种手段,可使肝硬化患者避免导管检测或食道镜检查带来的危险和不便。
The purpose of this study was to explore a variety of risk factors leading to hemorrhagic esophageal cirrhosis. Cases from our hospital from 1983 to 1985 admitted to some of the portal vein cirrhosis with esophageal varices in patients with a total of 100 cases, according to whether it is associated with bleeding esophageal varices into bleeding group and non-bleeding group of 50 cases, leading to bleeding The various risk factors were retrospectively investigated. Finally, this paper presents the incidence of variceal bleeding caused by the origin of risk factors is the degree of portal hypertension; portal hypertension> 3.49Kpo, or B ultrasound detection of portal vein (total dry) diameter> 1.9cm, splenic vein (spleen door)> 1.3 cm. Men with age> 40 years old, with pulmonary infection, hypersplenism (hemoglobin <70g / L, white blood cell count <5 × 10-9 / L, platelet <60 × 10-9 / L). With the above-mentioned two risk factors and risk factors for esophageal varices in patients with bleeding, suggesting a high degree of possibility of bleeding. It is recommended to use B ultrasound to detect portal vein, splenic vein and superior mesenteric vein diameter as a means of determining portal pressure so that patients with cirrhosis can avoid the risk and inconvenience of catheterization or esophagoscopy.