血清-腹水白蛋白梯度与食管静脉曲张关系的临床研究

王友春; 马建党; 范银忠

血清-腹水白蛋白梯度与食管静脉曲张关系的临床研究

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中图分类号: R575.25
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出版历程
- 出版日期: 2006-01-20

Chinic investigation of the correlation between serum-ascites albumin concentration gradient and esophageal varices in patients with cirrhosis and ascites.

摘要

摘要: 探讨血清-腹水白蛋白梯度（SAAG）及测量门静脉直径在门脉高压性食管静脉曲张破裂出血预测中的价值。62例肝硬化腹水患者,其SAAG均≥11g/L符合门脉高压性腹水。其中并发食管静脉曲张破裂出血22例,非出血者40例,肝硬化并发食管静脉曲张破裂出血组之SAAG（21.34g/L±2.46g/L）及门静脉内径（1.43cm±0.12cm）均高于非出血组（15.57g/L±1.7g/L,1.08cm±0.14cm）差异均有统计学意义。因此认为血清-腹水白蛋白梯度及门静脉内径对预测门脉高压性食管静脉破裂出血有重要的临床价值。
- 血清-腹水白蛋白梯度（SAAG） /
- 肝硬化 /
- 门脉高压 /
- 食管静脉曲张破裂出血 /
- 门静脉内径
Abstract: To examine the relationship between serum-ascites albumin concentration gradient (SAAG) measurements and the occurrence of gastrointestinal (GI) haemorrhage in patients with cirrhosis and ascites.Albumin levels in the serum and ascites and esophageal varices (EV) and portal vein diameter were studied, and the correlation berween these parameters was assessed in 62 patients with cirrhosis detected.In patients with cirrhosis and ascites, the presence of EV and GI is associated with high SAAG.The level of SAAG in patients with GI bleeding was 21.34 g/L±2.46g/L and in patients without GI bleeding was 15.57g/L±1.7g/L.The diameter of portal vein in patients with GI bleeding was 1.43 cm±0.12cm and in patients without GI bleeding was 1.08cm±0.14cm.There was a statistical significance between them.The high levdl of SAAG and great diameter of portal vein were useful means to predict the presence of EV and GI in patients with cirrhosis and ascites.
- serum-ascites albumin concentration gradient (SAAG) /
- cirrhosis /
- portal hypertension /
- esophageal varices /
- portal vein diameter

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参考文献(8)

[1]Schepis F, Cam ma C, Niceforo D, et al.Which patients with cirrhosisshould undergo endoscopic screening for esophageal varices detection?[J].Hepatology, 2001, 33∶333.

[2]Das BB, Purohit A, Acharya U, et al.Serum-ascites albumin gradien∶ta predictor of esophageal varices with ascites[J].Indian J Pediatr, 2001, 69 (6) ∶511~4.

[3]Mene A, Sharma D, Raina VK.Correlation between serum-ascites al-bumin concentration gradient with gastrointestinal bleeding in patients ofportal hypertension[J].Trop Doct, 2003, 33 (1) ∶39~41.

[4] Schiff L, Schiff E.Disease of the liver[M].Philadelphia∶JB Lippincott, 1993∶28.

[5]刘方旭, 谢鹏雁.血清腹水白蛋白梯度与渗漏出液概念临床价值的比较[J].中华消化杂志, 2002, 22 (3) ∶175.

[6] 孙灏珠.实用内科学[M].第11版.北京∶人民卫生出版社, 2001∶1850.

[7]Torres E, Barros P, Calmet F.Correlation between serum-ascites albu-min concentration gradient and endoscopic parameters of portal hyperten-sion[J].Am J Gastroenterol, 1998, 93 (11) ∶2172~8.

[8]李定国, 范平.肝硬化食管静脉曲张破裂出血危险的预测[J].中华消化杂志, 2002, 22 (3) ∶133~134.

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