Objective:To explore the risk factors for rebleeding in patients with (AUGIB).Methods:A retrospective analysis was conducted on the clinical data of 50 patients with AUGIB,who were divided into a rebleeding group and a non-rebleeding group based on whether they experienced rebleeding.The clinical data of the two groups of patients were analyzed to explore the risk factors for rebleeding.Results:Among AUGIB patients,there were 12 cases (24％) in the rebleeding group and 38 cases (76％) in the non-rebleeding group,with a male to female ratio of 3.5︰1.There were 30 cases of peptic ulcer.There were statistically significant differences in vomiting blood,proportion of neutrophils,red blood cell distribution width,platelets,albumin,prothrombin time,activated partial thromboplastin time,thrombin time,fibrinogen,and plasma D-dimer between the two groups (P<0.05 to P<0.01).Logistic regression analysis showed that D-Dimer (OR:0.994,95％CI:0.989-1.000) and platelets (OR:1.066,95％CI:0.994-1.144) were independent risk factors for rebleeding in AUGIB patients.Conclusions:AUGIB is more common in males,and gastrointestinal ulcers with bleeding are the most common.Platelet and plasma D-dimer levels are independent risk factors for rebleeding.
维普
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