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Date Published: 13/02/2023
Abstract Views: 317
Views PDF: 216
DOI: https://doi.org/10.51298/vmj.v521i1.4009
Issue
Vol. 521 No. 1 (2022)
Section
Các bài báo
How to Cite
Nguyễn, A. T., & Nguyễn, H. V. A. (2023). THE RESULT OF TREATMENT FOR CIRRHOTIC PATIENTS WITH GASTROINTESTINAL BLEEDING DUE TO GASTRIC VARICOSE VEINS AT BACH MAI HOSPITAL. Vietnam Medical Journal, 521(1). https://doi.org/10.51298/vmj.v521i1.4009

THE RESULT OF TREATMENT FOR CIRRHOTIC PATIENTS WITH GASTROINTESTINAL BLEEDING DUE TO GASTRIC VARICOSE VEINS AT BACH MAI HOSPITAL

Anh Tuấn Nguyễn1,, Hữu Việt Anh Nguyễn2
1 Bach Mai Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Objective: Describe the result of treating for cirrhotic patients with gastrointestinal bleeding due to gastric varicose veins  at Bach Mai Hospital. Method: Prospective, Descriptive study to treatment for 101 cases of cirrhosis  with gastrointestinal bleeding due to gastric varicose veins  at Bach Mai Hospital from 2021-2022. Results: In the study, 80 patients (79.2%) received red blood cells transfusion with a volume of 1108.38 ± 645.88 ml, and 20 patients (19.8%) received a platelet transfusion with a volume of 347.0 ± 141.31 ml and 31 patients (30.7%) were transfused fresh frozen plasm with the amount of 667.74 ± 456.94 ml. 100% of patients had diagnostic endoscopy, of which 47 patients (46.5%) had endoscopic variceal ligation and 41 patients (40.5%) had endoscopic injection sclerotherapy. 96 patients (95.1%) got successful hemostasis. The number of patients requiring endotracheal intubation was 10, correspconding to 9.9% of patients. The rate of very severe illness and death was 17/101 patients (16.8%). Conclusion: Infusion of blood products according to indications and timely interventional endoscopy are the main and effective treatments for cirrhotic patients with gastrointestinal bleeding due to gastric varicose veins and accord with circumstance in emergency department.

Article Details

Keywords

gastrointestinal bleeding due to gastric varicose veins, infusion of blood products, interventional endoscopy

References

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