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相關文獻
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頁籤選單縮合
題 名 | Isolated Fundic Varices in Liver Cirrhosis=肝硬化病患的孤立性胃底靜脈曲張 |
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作 者 | 邱正堂; 陳邦基; 吳正雄; 連昭明; 李青松; 劉乃仁; 吳宗憲; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 15:1 1998.03[民87.03] |
頁 次 | 頁1-7 |
分類號 | 415.525 |
關鍵詞 | 孤立性胃靜脈曲張; 肝硬化; Isolated gastric varices; Liver cirrhosis; |
語 文 | 英文(English) |
中文摘要 | 孤立性胃底部靜脈曲張是肝硬化病患少見的臨床表徵。自1992年初至1995年底 我們對26位此類病患,針對其靜脈曲張出血的危險性,其出血程度與相關42天的死亡率做 前瞻性研究。其中原發性者有16位,繼發於食道靜脈曲張治療者有10位,臨床表徵在此二 組中並無差異。胃靜脈曲張出血相關性危險率在原發組為0.256;繼發組則為0.244,平均輸 血量則為6.3單位與15單位,而42天死亡率為33.3%與75%。病患中靜脈曲張出血僅限於 Child'B與C的肝硬化病患,出血危險率與靜脈上的紅色表徵無相關,雖然兩組的出血危險 率類似,但繼發組的病患如發生出血的現象則有較差的預後。(中消醫誌1998;15:1-7) |
英文摘要 | Isolated fundic varices in liver cirrhosis is a rare clinical manifestation. These is much controversy over their bleeding risk, therapy and outcome. We studied two subtypes of isolated fundic varices and assessed their relative risks of variceal bleeding, degree of bleeding and 42-day mortality. From 1992 to 1995, 26 patients presenting with isolated fundic varices (16 primary and 10 secondary) with liver cirrhosis as the underlying disease were included. Patients with segmental portal hypertension were excluded from this study. The endoscopic features and grades of cirrhosis at first presentation were recorded. During follow-up, endo-scopic examinations were performed at the time of upper gastrointestinal bleedning to ascertain fundic variceal bleeding. No differences in the clinical characteristics were noted between thses two groups of patients. The relative risk for isolated fundic variceal bleeding for the primary group was 0.246, while that for the secondary group was 0.224. Total amounts of blood transfused were 6.3 units per patient for the primary group and 15.0 units for the secondary group. Forty-two day mortalities were 33.3% and 75.0% respectively. Only Child B and C cirrhotic patients with F2 or F3 varices had bleeding. No correlation was found between he bleeding risk and endoscopic red color sign had no significant role in isolated fundic varices bleeding. |
本系統中英文摘要資訊取自各篇刊載內容。