Study on Risk Factors Affecting the Prognosis of Emergency Treatment for Cirrhosis Complicated by Upper Gastrointestinal Bleeding
YUAN Yuan
MAO Yongwu
ZHANG Xuemei
TIAN Aiping
WANG Xiaofeng
Abstract：Objective To preliminarily evaluate the risk and prognostic factors associated with cirrhosis complicated by upper gastrointestinal bleeding.Methods Retrospective analysis of data from 150 cirrhosis pa-tients treated at the First Hospital of Lanzhou University from May 2020 to May 2023 were divided into the bleed-ing group(n=66)and the non-bleeding group(n=84).The bleeding group was further subdivided into the survival group(n=36)and the death group(n=33).The risk and prognostic factors of cirrhosis complicated by upper gastro-intestinal bleeding were analyzed.Results History of upper gastrointestinal bleeding,liver function grade,blood creatinine,prothrombin time,hemoglobin,degree of fundic varices,red signs,portal vein diameter,and ascites were related to bleeding(P＜0.05).Logistic analysis indicated that fundic varices,prothrombin time,portal vein diameter,and ascites were independent risk factors for bleeding.Shock index,complications,prothrombin time,hemoglobin,and serum bilirubin were related to prognosis(P＜0.05).Logistic analysis showed that shock index,serum bilirubin levels,and hepatic encephalopathy were independent prognostic factors.Conclusion There are multiple factors associated with upper gastrointestinal bleeding and prognosis in cirrhosis patients.Clinical attention should be paid-to prevention and timely management.
Keywords：liver cirrhosisprognosishemorrhageportal vein
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 690-692 )