ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ CẬN LÂM SÀNG Ở BỆNH NHÂN XUẤT HUYẾT TIÊU HÓA TRÊN TẠI BỆNH VIỆN ĐA KHOA TRÀ VINH

Abstract

Objectives: To characterize the clinical and a subset of paraclinical attributes observed in individuals manifesting upper gastrointestinal hemorrhage at Tra Vinh General Hospital. Patients and methods: A descriptive, cross-sectional investigation was undertaken, enrolling patients admitted to Tra Vinh General Hospital due to upper gastrointestinal hemorrhage from January 2024 to June 2024. Results: Non-variceal upper GI bleed was 74.81%, variceal 25.19%. Mean age 60.29±15.98 years; male: female 2:1. Cirrhosis, prior upper GI bleeding, alcohol, hepatitis, and malignancy were more common in variceal cases (p < 0.05). Melena and hematemesis were frequent presentations (70.37% and 55.56%, respectively). Hematemesis was higher in variceal (30.67%), melena in non-variceal (78.95%). Duodenal ulcer was the leading cause (45.19%), followed by esophageal varices (25.19%), erosive gastritis (22.96%), and an antral ulcer (6.67%). Variceal cases had lower mean WBC, platelets, Na, creatinine, albumin, and protein, but higher INR, PT, aPTT, AST, and ALT (p < 0.05). Conclusion: Non-variceal upper GI hemorrhage was a common cause. Identifying distinct features between non-variceal and variceal upper GI hemorrhage (age, sex, history, labs) can aid in diagnosis and initial management. Controlling these factors may reduce upper GI hemorrhage risk.