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探讨食管静脉曲张硬化治疗后复发出血的规律及有关因素。对260例肝硬化食管静脉曲张硬化治疗后患者,追随观察6到72个月,对反复出血的55例患者进行临床分析。本组复发出血率为21.2%,一年内复发出血占69%,52例再次接受硬化治疗,急诊止血率为96.1%。追随期中,死亡8例,其中3例死于出血。存活47例,生存期1~6年。结论:1.复发出血与肝功能、门静脉主干宽度无明显关系,而与静脉曲张消失和基本消失率低以及其他门体静脉侧支未建立有关。2.复发出血者小中量占多数。3;对复发出血的规律及如何预防复发出血作了简要讨论。
Explore the rule of esophageal variceal hemorrhage recurrence and related factors. Of 260 patients with cirrhosis esophageal varices after treatment, follow-up observation of 6 to 72 months, 55 cases of repeated bleeding clinical analysis. This group of recurrent hemorrhage rate was 21.2%, 69% of recurrent hemorrhage within a year, 52 cases of sclerosis treatment again, emergency bleeding rate was 96.1%. Follow-up period, the death of 8 cases, of which 3 died of bleeding. Survival in 47 cases, survival of 1 to 6 years. Conclusion: 1. Recurrence of bleeding and liver function, the main width of the portal vein no significant relationship with the disappearance of varicose veins and the basic disappearance of low and other portal vein side branches not established. 2. Small amounts of recurrent bleeding accounted for the majority. 3; a brief discussion on the rule of recurrent bleeding and how to prevent recurrence of bleeding.