Garrigues-Gil V, Clamp S E, Morgan A G, Ohmann C, de Dombal F T
Hospital La Fe, Valencia, Spain.
Scand J Gastroenterol Suppl. 1988;144:59-62.
To assess the additional prognostic value of endoscopic stigmata of recent haemorrhage (SRH) in addition to clinical data, a pilot study was conducted on 207 duodenal ulcer patients from the OMGE survey. The incidence of SRH was compared in 145 patients who settled and 62 who re-bled. Only active bleeding emerged as significantly commoner in the latter group. Two computer-assisted predictions of further bleeding (before and after addition of the stigmata to a clinical database) were compared with the final outcome. Little improvement, in terms of prognosis for further bleeding, was obtained when SRH data were added. Similar findings were observed in a smaller series from Marburg, FRG.
为了评估除临床数据外近期出血内镜征象（SRH）的额外预后价值，对来自OMGE调查的207例十二指肠溃疡患者进行了一项初步研究。比较了145例病情稳定患者和62例再出血患者的SRH发生率。仅活动性出血在后者组中显著更常见。将两种计算机辅助预测进一步出血的方法（在临床数据库中加入这些征象之前和之后）与最终结果进行了比较。加入SRH数据后，在预测进一步出血的预后方面几乎没有改善。在来自德国马尔堡的一个较小系列研究中也观察到了类似的结果。
