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食管静脉曲张破裂出血(BEV),是门静脉高压症的严重并发症和主要死因。但并非门静脉高压症的上消化道出血(UGH)均系BEV所致(占50％左右),而急性胃粘膜炎和消化性溃疡亦不少见。据报告,约2/3的门静脉高压症永不发生BEV,且BEV自行止血率可达50％。在我国,肝硬化是门静脉高压症的最常见原因,而50％的肝硬化最终将发生BEV。如不进行再出血的预防,81％的患者将复发出血。BEV病死率很高,美国为60％,且随出血次数的增加而显著上升。因此,及时判断活动性出血对于确定治疗方案,减少治疗性干扰,降低病死率具有重要意义。
Esophageal variceal bleeding (BEV), is a serious complication and the main cause of portal hypertension. However, portal hypertension is not caused by upper gastrointestinal bleeding (UGH) are caused by BEV (about 50%), and acute gastric mucositis and peptic ulcer is not uncommon. It has been reported that about two-thirds of patients with portal hypertension never experience BEV, and BEV has a 50% hemostasis rate. In our country, cirrhosis is the most common cause of portal hypertension, and 50% of cirrhotics eventually develop BEV. If no prevention of further bleeding, 81% of patients will relapse bleeding. BEV high mortality, the United States was 60%, and with the increase in the number of bleeding increased significantly. Therefore, promptly determine the activity of bleeding for the determination of treatment options to reduce the therapeutic interference and reduce mortality is of great significance.