NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ XỬ TRÍ XUẤT HUYẾT TIÊU HÓA DO GIÃN TĨNH MẠCH DẠ DÀY TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To evaluate the clinical and subclinical characteristics of gastrointestinal bleeding associated with gastric varices rupture and evaluate the results of emergency management of gastrointestinal bleeding due to ruptured gastric varices at Bach Mai Hospital. Patients and methods of study: prospective description of a patient with gastrointestinal bleeding due to ruptured gastric varices treated at Bach Mai hospital from 7/ 2021 to 8/ 2022. Result: 101 patients, male accounted for 96%, mean age 55.03 ± 11.98 years old. The degree of cirrhosis Child - pugh A 14.9%, Child - pugh B accounted for 48.5%, Child - pugh C accounted for 36.6%. Mild blood loss accounted for 12.9%, moderate level accounted for 64.4%, severe level accounted for 22.8%. Successful control of bleeding source accounted for 95.1%, discharged patients accounted for 73.3%, severe cases accounted for 16.8%, hospital transfer accounted for 9.9%. There were 80 patients receiving red blood cell transfusion, 20 patients receiving platelet transfusion and 31 patients receiving fresh plasma transfusion. Conclusion: early diagnosis and early intervention of bleeding source and treatment of other complications of cirrhosis such as encephalopathy, hepatorenal syndrome. Multi-specialty treatment is highly effective in treating gastrointestinal bleeding due to ruptured gastric varices.