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目的探讨血吸虫病肝硬化食管静脉曲张破裂出血的相关危险因素。方法选择血吸虫病肝硬化食管静脉曲张破裂出血患者113例为出血组,血吸虫病肝硬化食管静脉曲张非出血患者128例为对照组,进行相关因素分析。结果经比较,两组凝血酶原时间、门静脉主干内径、食管静脉曲张程度、曲张静脉瘤样病变的差异均有统计学意义(P均<0.01)。结论血吸虫病肝硬化患者发生食管静脉曲张破裂出血的危险因素为凝血酶原时间、门静脉主干内径、食管静脉曲张程度、曲张静脉瘤样病变。
Objective To investigate the risk factors of schistosomiasis with cirrhosis esophageal variceal bleeding. Methods One hundred and thirteen patients with hemorrhagic esophageal variceal bleeding due to schistosomiasis were enrolled in this study. 128 patients with non-hemorrhagic esophageal varices with cirrhosis due to schistosomiasis were selected as the control group, and related factors were analyzed. Results Comparing the two groups, the prothrombin time, the diameter of the main portal vein, the degree of esophageal varices, varicose vein aneurysm-like lesions were significantly different (all P <0.01). Conclusions The risk factors for esophageal variceal bleeding in patients with cirrhosis due to schistosomiasis are prothrombin time, main portal vein diameter, esophageal varices, varicose vein aneurysm.