关键词: 肝硬化, 食管胃底静脉曲张出血, 死亡, 再出血, ABC 评分, 预后

Abstract: Objective To evaluate the performance of ABC score in predicting early high mortality risk and rebleeding risk caused by gastrointestinal bleeding in patients with liver cirrhosis，and compare it with Child-Pugh score and MELD score. Methods This article selected 95 hospitalized patients with cirrhosis and varicose hemorrhage admitted to the Third People′s Hospital of Hubei Province from January 2018 to March 2021 and recorded the first ABC score，CTP score，and MELD score of the patients after the clinical hospitalization. The area under the ROC curve was used to compare the performance of the three scoring methods on evaluating the early high mortality risk and the risk of rebleeding. Results In terms of the prognostic value of 30-day death in patients with esophageal gastric varices bleeding，the ABC score （AUC = 0. 917） was significantly better than the CTP score （AUC = 0. 817） and MELD score（AUC = 0. 768）. And the ABC score had a certain diagnostic value in predicting the occurrence of rebleeding in patients with esophageal gastric varices bleeding，and the area under the curve was 0. 720. CTP score and MELD score had no obvious diagnostic value for the prognosis of varicose vein bleeding patients with rebleeding，and the area under the curve was 0. 562 and 0. 578，respectively. Conclusion ABC score has a better diagnostic value in predicting the death of patients with liver cirrhosis and esophageal variceal bleeding within 30 days of hospitalization，and is better than the CTP score and MELD score. ABC score has a certain diagnostic value in predicting rebleeding in patients with varicose vein bleeding.

Key words: liver cirrhosis, esophageal gastric varices bleeding, death, rebleeding, ABC score, prognosis