河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
1期
37-40
,共4页
SAAG%食管胃底静脉曲张%静脉出血
SAAG%食管胃底靜脈麯張%靜脈齣血
SAAG%식관위저정맥곡장%정맥출혈
SAAG%Esophageal gastric varices%Vein bleeding
目的：研究血清腹水白蛋白梯度与门脉高压的相关性，探讨血清腹水白蛋白梯度对食管胃底静脉曲张破裂出血的预测价值。方法：将2010年5月至2012年6月在我院住院的42例肝硬化腹水患者纳入研究，测定所有入组患者的血清腹水白蛋白梯度值，同时均予胃镜检查以明确有无食管胃底静脉曲张或破裂出血。根据测得的SAAG值，把42例患者以11 g/L为界限分为高SAAG组36例和低SAAG组6例。根据胃镜结果，所有患者中有14例并发食管-胃底静脉曲张破裂出血，另外28例未发生出血，比较两组患者的SAAG值。结果：高SAAG的36例患者中有食管胃底静脉曲张的27例，占69．23％；低SAAG的6例患者中发生食管胃底静脉曲张的有1例，占16．67％；高SAAG组发生食管胃底静脉曲张的比率明显高于低SAAG组（ P＜0．05）。14例发生食管胃底静脉曲张破裂出血者测得SAAG值为（23．97±6．95）g/L，28例未发生出血的患者测得SAAG值为（18．12±5．92）g/L，发生食管胃底静脉曲张破裂出血患者的SAAG值明显高于未发生出血者（ P＜0．05）。结论：血清腹水白蛋白梯度值的高低与食管胃底静脉曲张的发生呈正相关，可通过检测血清腹水白蛋白梯度值来预测食管胃底静脉出血情况。
目的：研究血清腹水白蛋白梯度與門脈高壓的相關性，探討血清腹水白蛋白梯度對食管胃底靜脈麯張破裂齣血的預測價值。方法：將2010年5月至2012年6月在我院住院的42例肝硬化腹水患者納入研究，測定所有入組患者的血清腹水白蛋白梯度值，同時均予胃鏡檢查以明確有無食管胃底靜脈麯張或破裂齣血。根據測得的SAAG值，把42例患者以11 g/L為界限分為高SAAG組36例和低SAAG組6例。根據胃鏡結果，所有患者中有14例併髮食管-胃底靜脈麯張破裂齣血，另外28例未髮生齣血，比較兩組患者的SAAG值。結果：高SAAG的36例患者中有食管胃底靜脈麯張的27例，佔69．23％；低SAAG的6例患者中髮生食管胃底靜脈麯張的有1例，佔16．67％；高SAAG組髮生食管胃底靜脈麯張的比率明顯高于低SAAG組（ P＜0．05）。14例髮生食管胃底靜脈麯張破裂齣血者測得SAAG值為（23．97±6．95）g/L，28例未髮生齣血的患者測得SAAG值為（18．12±5．92）g/L，髮生食管胃底靜脈麯張破裂齣血患者的SAAG值明顯高于未髮生齣血者（ P＜0．05）。結論：血清腹水白蛋白梯度值的高低與食管胃底靜脈麯張的髮生呈正相關，可通過檢測血清腹水白蛋白梯度值來預測食管胃底靜脈齣血情況。
목적：연구혈청복수백단백제도여문맥고압적상관성，탐토혈청복수백단백제도대식관위저정맥곡장파렬출혈적예측개치。방법：장2010년5월지2012년6월재아원주원적42례간경화복수환자납입연구，측정소유입조환자적혈청복수백단백제도치，동시균여위경검사이명학유무식관위저정맥곡장혹파렬출혈。근거측득적SAAG치，파42례환자이11 g/L위계한분위고SAAG조36례화저SAAG조6례。근거위경결과，소유환자중유14례병발식관-위저정맥곡장파렬출혈，령외28례미발생출혈，비교량조환자적SAAG치。결과：고SAAG적36례환자중유식관위저정맥곡장적27례，점69．23％；저SAAG적6례환자중발생식관위저정맥곡장적유1례，점16．67％；고SAAG조발생식관위저정맥곡장적비솔명현고우저SAAG조（ P＜0．05）。14례발생식관위저정맥곡장파렬출혈자측득SAAG치위（23．97±6．95）g/L，28례미발생출혈적환자측득SAAG치위（18．12±5．92）g/L，발생식관위저정맥곡장파렬출혈환자적SAAG치명현고우미발생출혈자（ P＜0．05）。결론：혈청복수백단백제도치적고저여식관위저정맥곡장적발생정정상관，가통과검측혈청복수백단백제도치래예측식관위저정맥출혈정황。
Objective:To study the serum ascites albumin gradient correlation with portal hypertension , and to explore the value of serum ascites albumin gradient predict esophageal and gastric varices bleeding . Method:42 patients with liver cirrhosis ascites from May 2010 to June 2012 in our hospital were included in the study,determinate all the groups of patients with ascites serum albumin gradient value, at the same time, all to gastroscope inspection in order to make clear whether the esophageal varicose veins or gastric bleeding . According to the measured values of SAAG, 42 patients with 11g/L for boundary was divided into high SAAG group(36 cases)and low SAAG group (6 cases).According to the results of gastroscope, 14 cases of all patients complicated with esophageal and gastric varices bleeding , and other 28 cases with hemorrhage oc-curs, compared two the SAAG value groups of patients.Results: In 36 patients with high SAAG 27 cases with ophageal gastric varices, accounting for 69.23%;6 patients of low SAAG had 1 cases with esophageal gastric varices,accounting for 16.67%;High SAAG group occurrence rate of esophageal gastric varices was higher than low SAAG group ( P<0 .05 ) .SAAG value of 14 cases with esophageal and gastric varices bleed-ing were measured (23.97±6.95)g/L, SAAG value of 28 cases without hemorrhage occurs measured was (18.12±5.92) g/L, SAAG of ccurred in patients with esophageal and gastric varices bleeding is obviously higher than not bleeding ( P<0.05) .Conclusion:High or low of ascites serum albumin gradient value are positively correlated with the occurrence of esophageal gastric varices, but through the detection of serum as-cites albumin gradient values can predict esophageal and gastric varices bleeding.
