李娟娟, 闻静, 张超, 李晓玉. 急性上消化道出血再出血的危险因素分析[J]. 蚌埠医科大学学报, 2024, 49(9): 1141-1144. DOI: 10.13898/j.cnki.issn.1000-2200.2024.09.004
    引用本文: 李娟娟, 闻静, 张超, 李晓玉. 急性上消化道出血再出血的危险因素分析[J]. 蚌埠医科大学学报, 2024, 49(9): 1141-1144. DOI: 10.13898/j.cnki.issn.1000-2200.2024.09.004
    LI Juanjuan, WEN Jing, ZHANG Chao, LI Xiaoyu. Analysis of risk factors for rebleeding in acute upper gastrointestinal bleeding[J]. Journal of Bengbu Medical University, 2024, 49(9): 1141-1144. DOI: 10.13898/j.cnki.issn.1000-2200.2024.09.004
    Citation: LI Juanjuan, WEN Jing, ZHANG Chao, LI Xiaoyu. Analysis of risk factors for rebleeding in acute upper gastrointestinal bleeding[J]. Journal of Bengbu Medical University, 2024, 49(9): 1141-1144. DOI: 10.13898/j.cnki.issn.1000-2200.2024.09.004

    急性上消化道出血再出血的危险因素分析

    Analysis of risk factors for rebleeding in acute upper gastrointestinal bleeding

    • 摘要: 目的: 探讨急性上消化道出血(AUGIB)病人再出血危险因素。方法: 回顾性分析50例AUGIB 病人的临床相关资料,按是否再出血分为再出血组和未再出血组,对2组病人临床资料进行分析,探讨发生再出血的危险因素。结果: AUGIB病人中再出血组12例(24%)、未再出血组38例(76%),男女比例为3.5∶1,消化性溃疡30例;2组呕血、中性分叶核比例、红细胞分布宽度、血小板、白蛋白、凝血酶原时间、活化部分凝血活酶时间、凝血酶时间、纤维蛋白原、血浆D-二聚体等差异均有统计学意义(P<0.05~P<0.01);logistic回归分析显示:D-Dimer(OR:0.994,95%CI:0.989~1.000)、血小板(OR:1.066,95%CI: 0.994~1.144)是AUGIB病人发生再出血的独立危险因素。结论: AUGIB多见于男性,消化道性溃疡伴出血最为常见,血小板、血浆D-二聚体水平是发生再出血的独立危险因素。

       

      Abstract: Objective: To explore the risk factors for rebleeding in patients with (AUGIB). Methods: A retrospective analysis was conducted on the clinical data of 50 patients with AUGIB,who were divided into a rebleeding group and a non-rebleeding group based on whether they experienced rebleeding.The clinical data of the two groups of patients were analyzed to explore the risk factors for rebleeding. Results: Among AUGIB patients,there were 12 cases (24%) in the rebleeding group and 38 cases (76%) in the non-rebleeding group,with a male to female ratio of 3.5∶1.There were 30 cases of peptic ulcer.There were statistically significant differences in vomiting blood,proportion of neutrophils,red blood cell distribution width,platelets,albumin,prothrombin time,activated partial thromboplastin time,thrombin time,fibrinogen,and plasma D-dimer between the two groups (P<0.05 to P<0.01).Logistic regression analysis showed that D-Dimer (OR:0.994,95%CI:0.989-1.000) and platelets (OR:1.066,95%CI:0.994-1.144) were independent risk factors for rebleeding in AUGIB patients. Conclusions: AUGIB is more common in males,and gastrointestinal ulcers with bleeding are the most common.Platelet and plasma D-dimer levels are independent risk factors for rebleeding.

       

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