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作者对40例肝硬化患者(酒精性22例,非酒精性18例;按Child分级:A25例,B11例,C4例)经内镜以细针穿入食管曲张静脉内测压,并将所得结果同内镜图像(特别是“红色征”、曲张静脉粗细和数目)及肝病严重程度的一些指标作对比,以确定其间的关系。肝硬化食管曲张静脉压力(OVP)为8.6～42.5(均值±SD,22.9±8.1)cmH_2O。OVP同年龄、性别、病因、Child分级、有无腹水、肝功能指标(包括胆红素、血浆白蛋白)等都无明显相关。在内镜检视下,有“红色征“者的OVP(26.7±7.8cmH_2O)有意义地高于无此征的患者(19.1±6.6cmH_2O)(p<0.01);然而它同曲张静脉直径(>5mm,23.7±84;≤5mm,22.2±7.9cmH_2O)和数目(73个;23.2±8.0;≤3,22.2±7.8
The author of 40 patients with cirrhosis (alcohol 22 cases, non-alcoholic 18 cases; according to Child classification: A25 cases, B11 cases, C4 cases) by endoscopic fine needle penetration esophageal varicose vein, and the resulting Results were compared with endoscopic images (especially “red signs”, varicose veins thickness and number) and some indicators of the severity of liver disease to determine the relationship between them. Cirrhosis esophageal varicose vein pressure (OVP) was 8.6-42.5 (mean ± SD, 22.9 ± 8.1) cmH_2O. OVP with age, gender, etiology, Child classification, with or without ascites, liver function indicators (including bilirubin, plasma albumin) and so no significant correlation. OVP with a “red sign” (26.7 ± 7.8 cmH 2 O) was significantly higher in endoscopic examination than in those without this sign (19.1 ± 6.6 cmH 2 O) (p <0.01); however, it was associated with varicose vein diameter (> 5mm, 23.7 ± 84; ≤5mm, 22.2 ± 7.9cmH_2O) and the number (73; 23.2 ± 8.0; ≤3,22.2 ± 7.8