Risk Fact Analysis Of Recurrent Bleeding After Esophageal And Gastric Varices Rupture In Decompensated Stage Of Hepatitis B Cirrosis

Objective:This study analyzed the gender,age,and laboratory-related indexes of the first hospitalization cases of esophageal and gastric varices rupture and bleeding in the decompensated stage of hepatitis B liver cirrhosis in the past 12 years by the first affiliated hospital of Xinjiang Medical University.Statistical analysis of relevant indicators of patients with rebleeding within 6 months was performed to predict the probability of rebleeding at 3,4,and 5 months.Methods: The clinical data of HBV cirrhosis patients in the First Affiliated Hospital of Xinjiang Medical University were collected for statistical analysis,and the general data and laboratory index characteristics of HBV cirrhosis in the past 12 years were analyzed.The baseline data and risk factors of patients with rebleeding within one month were statistically analyzed to predict the probability of rebleeding within 3,4,and 5 months.Results: As the patient’s age increased,the risk of re-bleeding increased by 2%.The risk of re-bleeding in patients with spontaneous peritonitis increased by 1.64 times compared with patients without peritonitis.With the increase in white blood cell count,The patient’s risk of re-bleeding increased by 7%.With the increase of the red blood cell count,the risk of re-bleeding decreased by 57%.With the increase of the inner diameter of the splenic vein,the risk of re-bleeding increased by 3.88 times.Patients with portal vein thrombosis are 2.8 times more likely to bleed again.The nomogram can be used to calculate the probability of rebleeding in 3,4 and 5 months.Conclusion: The risk factors of rebleeding within 6months are age,peritonitis,white blood cells,inner diameter of splenic vein,portal vein thrombosis,and red blood cells are protective factors.