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本文旨在确定各种临床、实验室和内镜常规检查对预测肝硬化和食管静脉曲张患者出血和死亡率的意义。本研究对109例以往无出血史的肝硬化和食管静脉曲张患者作内镜、临床和实验室检查,包括胃底部的静脉曲张、红色症、曲张静脉计数和直径、血小板计数及Child分级的评估。63例患者随机作硬化剂预防治疗。平均随访21个月。 109例中男性65例,女性44例,平均年龄55岁。68例为酒精性肝硬化,41例为肝炎后肝硬化或隐匿性肝硬化。按Child分级,39例为A级,44例为B级,26例为C级。静脉曲张大于5mm 92例,静脉曲张超过3处59例。24例有红色症。13例有胃底静脉曲张。32例(29％)病人在随访期首次出现静脉曲张,其中25例
This article aims to determine the significance of various clinical, laboratory, and endoscopic routine tests in predicting bleeding and mortality in patients with cirrhosis and esophageal varices. In this study, 109 patients with history of cirrhosis and esophageal variceal hemorrhage without previous history of bleeding were examined by endoscopy, clinical and laboratory tests including varicose veins, redness, varicose vein count and diameter, platelet count and Child classification Evaluation. Sixty-three patients were randomized to receive sclerostone prophylaxis. The average follow-up of 21 months. 109 cases of male 65 cases, 44 females, mean age 55 years. 68 cases of alcoholic cirrhosis, 41 cases of posthepatitic cirrhosis or occult cirrhosis. According to Child classification, 39 cases were grade A, 44 cases were grade B and 26 cases were grade C. Varicose veins greater than 5mm 92 cases, varicose veins more than 3 59 cases. 24 cases have redness. 13 cases of gastric varices. Thirty-two patients (29%) developed varicose veins for the first time during the follow-up period, including 25 patients