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目的:探讨肝硬化食管胃静脉曲张破裂再出血的危险因素。方法:回顾性分析76例食管胃静脉曲张破裂出血患者的临床资料。结果:出血量≥1000ml与<1000ml、有失血性休克与无失血休克、24小时输血量≥800ml与<800ml、三腔管压迫时间>72小时与三腔管压迫时间<24小时的肝硬化患者食管胃静脉曲张破裂再出血率差异有统计学意义。结论:休克、出血量多、24小时内大量输血及三腔二囊管压迫时间过长是肝硬化食管胃静脉曲张破裂再出血的危险因素。
Objective: To explore the risk factors of rupture and rebleeding of esophagogastric varices in patients with cirrhosis. Methods: A retrospective analysis of 76 cases of esophageal and gastric variceal bleeding in patients with clinical data. Results: Patients with liver cirrhosis who had hemorrhage ≥1000ml and <1000ml, hemorrhagic shock with or without hemorrhagic shock, blood transfusion ≥800ml and <800ml in 24 hours, pressure in trochar with 72 hours in three-lumen tube and compression time in trochar 24 hours Esophagogastric variceal bleeding rate was significantly different. Conclusion: A large number of blood transfusions in shock and bleeding within 24 hours and long-term compression of the three-compartment two-stage cystic duct are risk factors for rupture and rebleeding of esophagogastric varices in patients with cirrhosis.