ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN XƠ GAN RƯỢU CÓ XUẤT HUYẾT TIÊU HÓA DO VỠ GIÃN TĨNH MẠCH PHÌNH VỊ TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe clinical features of alcoholic cirrhosis patients with gastrointestinal bleeding due to gastric varicose veins  at Bach Mai Hospital. Method: Descriptive study 67 alcoholic cirrhosis patients with gastrointestinal bleeding due to gastric varicose veins  at Bach Mai Hospital from 2021 to 2022. Results: 67 patients, all patients are males with average age of 56 ± 10. Child – Pugh A cirrhosis accounted for 17,9% Child - pugh B accounted for 47,8%, Child - pugh C accounted for 34,3%. 84% patients have history of gastrointestinal bleeding before. The majority of patients (65,7%) are moderate blood loss. Average vital signs, average pulse is 94 ± 16 beats per minute, average systolic blood pressure is 110 ± 21 mmHg, average diastolic blood pressure is 64 ± 11 mmHg. The bleeding sites are GOV1, GOV2, IVG1 with the rate of 28%, 37% và 35%. Mortality rate is 15%. Conclusion: Gastrointestinal bleeding due to gastric varicose veins on alcoholic cirrhosis patients happens mostly on male, middle age patients. Most patients have history of gastrointestinal bleeding. The bleeding sites is not very different between GOV1, GOV2, IVG1. Although the majority of patients are moderate blood loss, mortality rate is fairly high.