中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2015年
6期
510-512
,共3页
非创伤性指标%酒精性肝硬化%食管静脉曲张
非創傷性指標%酒精性肝硬化%食管靜脈麯張
비창상성지표%주정성간경화%식관정맥곡장
Trauma predictor%Alcoholic cirrhosis%Esophageal varices
目的:探讨酒精性肝硬化患者食管静脉曲张的非创伤性预测指标的临床意义。方法选取2013-06~2015-01河源市人民医院消化内科收治的102例酒精性肝硬化患者,根据食管静脉曲张程度分组,另选同期体检的健康者22名作为对照组。比较各组间凝血四项、D-二聚体、血清胆碱酯酶( CHE)、γ-谷氨酰转肽酶(γ-GGT)、血清白蛋白( ALB)、门静脉内径( PV)等水平变化。结果随着食管静脉曲张程度的加大, D-二聚体水平显著升高,PT、TT、APTT明显延长,FIB明显减少,CHE含量明显下降,γ-GGT明显升高,ALB明显下降,PV明显增大。结论尽早进行D-二聚体的检测,对于评估酒精性肝硬化患者食管静脉曲张程度具有重要的临床价值。
目的:探討酒精性肝硬化患者食管靜脈麯張的非創傷性預測指標的臨床意義。方法選取2013-06~2015-01河源市人民醫院消化內科收治的102例酒精性肝硬化患者,根據食管靜脈麯張程度分組,另選同期體檢的健康者22名作為對照組。比較各組間凝血四項、D-二聚體、血清膽堿酯酶( CHE)、γ-穀氨酰轉肽酶(γ-GGT)、血清白蛋白( ALB)、門靜脈內徑( PV)等水平變化。結果隨著食管靜脈麯張程度的加大, D-二聚體水平顯著升高,PT、TT、APTT明顯延長,FIB明顯減少,CHE含量明顯下降,γ-GGT明顯升高,ALB明顯下降,PV明顯增大。結論儘早進行D-二聚體的檢測,對于評估酒精性肝硬化患者食管靜脈麯張程度具有重要的臨床價值。
목적:탐토주정성간경화환자식관정맥곡장적비창상성예측지표적림상의의。방법선취2013-06~2015-01하원시인민의원소화내과수치적102례주정성간경화환자,근거식관정맥곡장정도분조,령선동기체검적건강자22명작위대조조。비교각조간응혈사항、D-이취체、혈청담감지매( CHE)、γ-곡안선전태매(γ-GGT)、혈청백단백( ALB)、문정맥내경( PV)등수평변화。결과수착식관정맥곡장정도적가대, D-이취체수평현저승고,PT、TT、APTT명현연장,FIB명현감소,CHE함량명현하강,γ-GGT명현승고,ALB명현하강,PV명현증대。결론진조진행D-이취체적검측,대우평고주정성간경화환자식관정맥곡장정도구유중요적림상개치。
Objective To investigate the clinical value of trauma predictor to aim at esophageal varices in al-coholic cirrhosis patients.Methods One hundred and two alcoholic cirrhosis patients were collected in our hospital from June 2013 to January 2015.These patients were divided into several groups based on the degrees of esophageal varices and other 22 healthy people were chosen as the control group.The changes of four coagulation tests, D-dimer, serum cholinesterase(CHE), gamma glutamyl transpeptidase(γ-GGT), serum albumin(ALB) and the internal di-ameter of portal vein( PV) were compaired among the different groups.Results AS the degrees of esophageal varices increased in alcoholic cirrhosis patients, the levels of D-dimer,γ-GGT, PT, TT, APTT and PV increased significant-ly, and the levels of FIB, CHE and ALB decreased significantly.Conclusion Early detection of D-dimer has an im-portant clinical value for predicting the degrees of esophageal varices in alcoholic cirrhosis patients.