在急性下胃肠道出血中风险评分的结果和表现
Aniwat Saleepol1, Uayporn Kaosombatwattana2,3
1Internal Medicine Division Jainad Narendra Hospital Chai Nat Thailand.
概括
急性下胃肠道出血 (LGIB) 在老年患者中很常见. 再出血的危险因素包括特定的病变和抗血小板使用,而当前的评分系统需要改进.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医学研究 医学研究
背景情况:
- 与上部GIB相比,与有限的数据相比,急性下部胃肠道出血 (LGIB) 的管理具有挑战性.
- 过度LGIB需要有效的临床结果评估和风险预测.
研究的目的:
- 描述急性公开LGIB患者的临床结果.
- 为了确定LGIB中再出血的预测因素.
- 为了验证现有的评分系统 (奥克兰,NOBLAD,层) 对于死亡率和再出血风险.
主要方法:
- 对接受结肠镜检查的537名LGIB患者 (2013-2018) 的回顾性审查.
- 纳入标准:明显的LGIB在发病后72小时内.
- 收集的数据:人口统计,并发病,管理,内镜检测结果,结果;重新出血因素的探索;风险评分的表现得到了验证.
主要成果:
- 常见的诊断:分分管出血 (31.3%) 和结直肠多/癌症 (28.9%).
- 30天死亡率:2.6%;再次出血:18.3%.
- 与辐射直肠炎,血管内膜炎,分泌腺炎和双重抗血小板使用相关的复出出血. 风险评分显示预测性表现不佳.
结论:
- 急性公开的LGIB经常影响患有并发症的老年患者.
- 重出血主要与特定的病变和抗血小板治疗有关.
- 目前的风险分层分数不足,需要进一步开发.
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