Bleeding esophageal varices in cirrhosis emergency affecting drug efficacy factor analysis
Objective To investigate the effects of bleeding esophageal varices in cirrhosis emergency drug efficacy factor. Methods In our hospital in January 2009 ~ February 2012 admitted variceal bleeding in cirrhotic patients hospitalized with 85 cases, select somatostatin (14 peptides or 8 peptide) or vasopressin for emergency treatment, the records may Emergency influence appearing factors effect of vasoactive drugs, and for correlation analysis. Results Hemostasis success rate of 69.41%, including liver function Child classification (P <0. 05), the degree of bleeding hemostasis success group (P <0.05), PLT (P <0. 05), PT (P <0. 05), PTA (P <0. 05), ALB (P <0. 05) with failure to control bleeding group, the difference was statisticaly significant, including the extent of bleeding (OR = 26.87) and the Child classification (OR = 48.65) for the effect of vasoactive therapeutic efficacy of the most important factors. Conclusion Child classification of liver function and bleeding can predict treatment success rate of vasoactive drugs a key factor. PTA and PT on improving emergency hemostasis and prevent rebleeding have some help.
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