Beppu K, Inokuchi K, Koyanagi N, Nakayama S, Sakata H, Kitano S, Kobayashi M
Gastrointest Endosc. 1981 Nov;27(4):213-8. doi: 10.1016/s0016-5107(81)73224-3.
To assess the risk of variceal bleeding, endoscopic findings in 172 patients with esophageal varices were classified based on the "General Rules for Recording Endoscopic Findings on Esophageal Varices" prepared by the Japanese Research Society for Portal Hypertension. Among the factor which enabled an accurate prediction of bleeding were the red wale marking and cherry-red spot of the red color sign category and blue varices of the fundamental color category with large varices. Other factors in the "General Rules" such as the form and location were of minor significance in prediction of the bleeding. Each of these factors can be quantified and an assessment can be made of the likelihood of bleeding. By calculating the total score of these factors, the risk of bleeding in individual patients was accurately estimated.
为评估静脉曲张出血的风险，根据日本门静脉高压研究学会制定的“食管静脉曲张内镜检查结果记录总则”，对172例食管静脉曲张患者的内镜检查结果进行分类。能够准确预测出血的因素包括红色征类别中的红色条纹征和樱桃红点，以及基本颜色类别中伴有大静脉曲张的蓝色静脉曲张。“总则”中的其他因素，如形态和位置，在预测出血方面意义较小。这些因素中的每一个都可以进行量化，并可以对出血的可能性进行评估。通过计算这些因素的总分，可以准确估计个体患者的出血风险。
