tailieunhanh - Một số đặc điểm bệnh lý của người bệnh xơ gan, vỡ tĩnh mạch thực quản tại Bệnh viện Đa khoa tỉnh Thái Bình

Vỡ giãn tĩnh mạch thực quản là một biến chứng nặng của hội chứng tăng áp lực tĩnh mạch cửa ở người bệnh xơ gan, tỷ lệ tử vong khoảng 40%. Ở Việt Nam, tỷ lệ chảy máu do vỡ tĩnh mạch thực quản vào cấp cứu ngày càng tăng. Bài viết trình bày nhận xét một số đặc điểm bệnh lý ở người bệnh xơ gan, vỡ tĩnh mạch thực quản tại Bệnh viện đa khoa tỉnh Thái Bình. | Vietnam Journal of Community Medicine Vol. 65 No. 3 102-110 INSTITUTE OF COMMUNITY HEALTH SOME PATHOLOGICAL CHARACTERISTICS OF CIRRHOTIC PATIENTS WITH RUPTURED ESOPHAGEAL VEINS AT THAI BINH PROVINCIAL GENERAL HOSPITAL Tran Thai Phuc1 Do Thanh Tung2 1 Thai Binh University of Medicine and Pharmacy - 373 Ly Bon City. Thai Binh Thai Binh province Vietnam 2 Thai Binh Department of Health - 239 Hai Ba Trung De Tham Ward Thai Binh Vietnam Received 15 01 2024 Revised 29 02 2024 Accepted 15 03 2024 ABSTRACT Background Esophageal varices rupture is a serious complication of cirrhosis-related portal hypertension which carries a high mortality rate of approximately 40 . In Vietnam there has been an increase in bleeding cases due to esophageal varices in emergency rooms. Objective The objective of this research is to examine the pathological characteristics of patients with cirrhosis and esophageal varices rupture at Thai Binh Provincial General Hospital. Methods A cross-sectional descriptive study was conducted on 110 patients treated at the Department of Internal Gastroenterology from May 2021 to August 2022. Variables such as age gender medical history clinical symptoms subclinical symptoms combined lesions and degree of cirrhosis were recorded. Results The results showed that of patients were male with an average age of years old. The most common age group was 50-59 accounting for . had a history of alcoholism and had hepatitis B and C virus infections. The rates of moderate and severe gastrointestinal bleeding were and respectively. Over 70 of patients exhibited symptoms such as vomiting blood black stools ascites and collateral circulation. All patients 100 had anemia severe anemia had thrombocytopenia and had decreased prothrombin. The study also found that of patients had decreased albumin had increased levels of glutamic oxaloacetic transaminase GOT and had increased levels of glutamic pyruvic .