| Gastroesophageal variceal bleeding (GEVB) have a seriously badeffect on Chinese peoole's health, so, eighteen patients of GEVB wereanalyzed who came to our hospital for treatment during 2004, Oct. to2005, Mar. Except for one of them was struggling from extrahepaticpotal-vein obstruction, Others were hepatocirrhosis's sufferer. Standadof diagnosis fit the standad of diagnosis emended by liver disease'sbranch and of infectious disease and verminosis's branch of Chinesemedicine academy in xian's 2000's meeting. They were followed for2-4 months and analyzed, and it is showed: Out of sufferer of GEVB,the etiology is 61.1% are cirrhosis sufferer from hepatitis B also, theyare major part in GEVB sufferer in China till now. The time forhemostasis of GEVB is longer than that of EVB, p<0.05. GEVBsufferer if treated by octreotide acetate, the mean arterial bloodpressure (MABP) and the time for hemostasis are in negativecorrelation,P<0.05. This is concerned that it is contracting the smallarteries that has raised the MABP and has depressed portal pressure,has improved the patients'hemodynamics. And it is the most idealwhen their MABP is about 107.5mmHg. And it also shows, drugs thatcan raise the MABP, will probably have good curative effect onGEVB. The prognosis of hepatocirrhosis complicated with GEVB isbad when ΔCRE/ΔBUN (the variety of creatinine /the variety of... |
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