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Method and system for evaluating bleeding risk of esophagus and stomach fundus varicosity of cirrhosis patient

A technology for varicose veins and alcoholic liver cirrhosis, which is applied in the field of medicine and can resolve disputes and other issues

Pending Publication Date: 2018-11-06
BEIJING DITAN HOSPITAL CAPITAL MEDICAL UNIV
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Problems solved by technology

Therefore, some scholars try to use other alternative indicators to predict the degree of esophageal and gastric varices, such as: platelet count, portal vein diameter, platelet count / spleen size, etc., but these indicators are controversial

Method used

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  • Method and system for evaluating bleeding risk of esophagus and stomach fundus varicosity of cirrhosis patient
  • Method and system for evaluating bleeding risk of esophagus and stomach fundus varicosity of cirrhosis patient
  • Method and system for evaluating bleeding risk of esophagus and stomach fundus varicosity of cirrhosis patient

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experiment example

[0021] Experimental example Serum ascites albumin gradient predicts the risk of hemorrhage from esophageal and gastric fundus varices in cirrhosis within 1 year

[0022] Objective To summarize and analyze the relationship between serum-ascites albumin gradient and rupture and bleeding of esophageal and gastric varices in patients with liver cirrhosis.

[0023] Methods: From January 2008 to January 2016, 546 patients with liver cirrhosis and ascites who met the inclusion criteria in our hospital were collected, followed up for 1 year to the outcome of bleeding, and divided into bleeding group and non-bleeding group according to whether bleeding or not, respectively The SAAG and related indicators of the two groups of patients were measured.

[0024] Results: According to the single factor analysis of the general situation of the bleeding group and the non-bleeding group, AST, ALB, CHE, TBA, PTA and SAAG are important indicators for predicting bleeding from esophageal and gastri...

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Abstract

The invention belongs to the technical field of medicine and particularly relates to a method and system for evaluating the bleeding risk of esophagus and stomach fundus varicosity of a cirrhosis patient. It is discovered through research that the SAAG and varix degree of the esophagus and stomach fundus of the patient with cirrhosis ascites have obvious relevance, and the higher the level of therelevance is, the more serious the stomach fundus varicosity of the esophagus is; when SAAG is larger than or equal to 25 g / L, the bleeding risk of esophagus and stomach fundus phleborrhexis of the patient within one year is obviously increased. By means of the method and system, the value of predicting bleeding of varicosity and phleborrhexis of the esophagus and stomach fundus within one year bythe system can be evaluated.

Description

technical field [0001] The invention belongs to the technical field of medicine, and in particular relates to a method and system for evaluating the bleeding risk of esophageal and gastric fundus varices due to liver cirrhosis. Background technique [0002] Liver cirrhosis is chronic liver damage caused by long-term repeated effects of various etiologies. When liver cirrhosis progresses to the decompensated stage, various complications such as ascites, abdominal infection, hepatorenal syndrome, hypoalbuminemia, rupture and bleeding of esophageal and gastric varices will occur. Among them, the rupture and bleeding of esophageal and gastric varices is one of the most common serious complications of liver cirrhosis, and the recent mortality rate exceeds 20%. 50% of patients with liver cirrhosis will be accompanied by varying degrees of esophageal and gastric fundus varices, and the 2-year incidence of bleeding caused by them is 5%-15%. Relevant guidelines at home and abroad s...

Claims

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Application Information

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IPC IPC(8): A61B5/145
CPCA61B5/1451A61B5/7275
Inventor 王宪波侯艺鑫张群朱冰冰高方媛胡莹
Owner BEIJING DITAN HOSPITAL CAPITAL MEDICAL UNIV
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