【摘要】 以探讨肝硬化并发食管静脉曲张破裂出血的相关危险因素为目的,选择2014年9月—2016年8月在哈尔滨市第一医院消化科住院治疗的肝硬化合并食管静脉曲张患者430例,将204例未发生破裂出血者作为对照组,将226例破裂出血者作为出血组,对各项指标进行单因素非条件Logistic回归分析。结果:PLT、食管静脉曲张、红色征、门静脉内径共4个变量与食管静脉曲张破裂出血存在明显相关性(P<0.05)。TT、APTT、FIB、脾静脉内径4个变量与食管静脉曲张破裂出血无明显相关性(P>0.05)。结论:食管静脉曲张患者的PLT、红色征、门静脉内径、食管静脉曲张程度均与出血存在正相关性,这4个因素是导致食管静脉曲张破裂出血的主要原因。更多还原

【Abstract】 To investigate the risk factors associated with cirrhosis and esophageal variceal hemorrhage,430 patients with cirrhosis and esophageal varices who were hospitalized in the Department of Gastroenterology,Harbin First Hospital from September 2014 to August 2016 were selected. 204 patients with no rupture of bleeding were used as the control group,and 226 patients with rupture and hemorrhage were used as the bleeding group. Univariate unconditional logistic regression analysis was performed on each index. A total of 4 variables,PLT,esophageal varices,red sign and portal vein diameter,were significantly associated with esophageal varices bleeding( P < 0. 05). There were no significant correlations between TT,APTT,FIB and spleen vein diameters and esophageal varices bleeding( P > 0. 05). PLT,red sign,portal vein diameter and esophageal varices in patients with esophageal varices are positively correlated with hemorrhage. These four factors are the main causes of esophageal varices bleeding.更多还原