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目的 探讨重度食管静脉曲张 (LEV)出血的预后因素。方法 将 41例LEV出血病人分为好转组 (15例 )和死亡组 (2 6例 ) ,分别比较child pugh分级 ,实验参数 [凝血酶原时间 (PT)、凝血因子、血小板计数 (BPC) ],B超脾大小 (厚度及斜径 ) ,年龄及病程 ,呕血次数及出血间隔时间。结果 两组PT、BPC、child pugh分级、年龄、出血间隔时间比较差异有显著意义 ,P值分别为 <0 0 5、<0 0 5、<0 0 2、<0 0 2、<0 0 1。结论 PT、child pugh分级、年龄与食管静脉曲张 (EV)出血的预后呈正相关 ,BPC、出血间隔时间、年龄与EV出血的预后呈负相关。
Objective To investigate the prognostic factors of severe esophageal varices (LEV) hemorrhage. Methods 41 patients with LEV hemorrhage were divided into improved group (15 cases) and death group (26 cases). The levels of child pugh were compared with those of experimental group [prothrombin time (PT), coagulation factor, platelet count (BPC) , B ultra-spleen size (thickness and oblique diameter), age and duration, the number of hematemesis and bleeding interval. Results There was significant difference in the classification of PT, BPC and child pugh between the two groups, and the difference of age and bleeding interval. The P values were <0 0 5, <0 0 5, <0 0 2, <0 0 2, <0 0 1 . Conclusion PT, child pugh grading, age and esophageal varices (EV) bleeding prognosis was positively correlated, BPC, bleeding interval, age and the prognosis of EV bleeding was negatively correlated.