RISK PROGNOSIS METHOD FOR VARICOSE VEINS BLEEDING RECURRENCE OF OESOPHAGUS AND STOMACH

摘要

FIELD: medicine.;SUBSTANCE: measures of microcirculation index are realised, and arithmetic average is calculated. Each measure is conducted during 1.5 to 2 minutes from normal mucous surface of antral stomach part or upper third part of oesophagus (M_O) and from mucous over varicose vein of respective organ (M₁). Microcirculation gradient (ΔM) is calculated by expression (M_O - M₁)/M_O. If the microcirculation gradient is lower than 0.1, absence of bleeding recurrence risk is stated; if the microcirculation gradient is between 0.1 and 0.29, insignificant bleeding recurrence risk is stated; if the value is between 0.3 and 0.49, moderate bleeding recurrence risk is stated; and if the value is 0.5 and more, high bleeding recurrence risk is stated.;EFFECT: increase in prognostication accuracy of varicose veins bleeding recurrence of oesophagus and stomach, defining opportune therapeutic management, and avoidance of bleeding recurrence.;3 ex, 3 tbl