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Variceal hemorrhage:Saudi tertiary center experience of clinical presentations,complications and mortality

World Journal of Hepatology 2012年第9期4卷 268-273页

作者： Hind I Fallatah haifaa al nahdi Maan al Khatabi Hisham O Akbar Yousif A Qari Abdul Rahman Sibiani Salim Bazaraa Department of Medical King Abdul Aziz University Hospital Jeddah Saudi ArabiaJeddah 21423Saudi Arabia

AIM:To determine the clinical presentation,underlying etiology and short-and long-term outcomes of acute variceal bleeding(AVB).METHODS:A retrospective descriptive cohort study of cirrhotic patients with AVB who were admitted to King Abdul Aziz University Hospital between January 2005 and December *** obtained demographic data for all *** each patient we also obtained the clinical data at presentation;cause of liver cirrhosis,bleeding presentation(hematemesis and/or melena),presence of ascites,hepatic encephalopathy and renal impairment(RI) or hepatorenal *** carried out complete blood count,prothrombin time evaluation,and liver function *** also report all episodes of re-bleeding after the first episode of AVB,both during the initial admission and after *** recorded the length of stay for each patient and thereby calculated the mean duration of stay for all *** length of follow-up after the first AVB and the outcome for each patient at the end of the study period were *** of mortality either related to liver disease or non-liver disease cause were ***:A 125 patients were enrolled in the *** number of episodes of AVB for each patients varied between 1 and *** from the first attack of AVB to death was 20.38 mo(SD 30.86),while the length of follow-up for the living patients was 53.58 mo(SD 24.94).Total number of AVB admissions was *** hepatitis C,the commonest underlying etiology for liver disease,was present in 46(36.8%) *** 35(28%) patients had received a primary prophylactic β-blocker before the first bleeding *** mean hemoglobin level at the time of admission was 8.59 g/dL(SD 2.53).Most patients had Child-Pugh Class C 41(32.8%) or Class B 72(57.6%) *** was the predominant symptom and was found in 119(95.2%) patients,followed by melena in 75(60.0%) *** of variable extent was documented in 93(74.4%) *** identified hepati

关键词： Endoscopy Liver disease Mortality Outcome Varices Variceal bleeding

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