高龄、低血压、心衰、溃疡可见血管 → 完整 9（极高危） 年龄≥80(2)+低血压(2)+其他合并症(2)+其他诊断(1)+可见血管(2) → 完整 9。极高危——密切监测并紧急干预。入院前 6。{"result":"Rockall complete 9 (pre-endoscopic 6). Very high risk (9).","metadata":{"input":{"age":"gte80","shock":"hypo","comorbidity":"other","diagnosis":"other","stigmata":"major"},"result":{"total":9,"preEndoscopic":6,"components":{"age":2,"shock":2,"comorbidity":2,"diagnosis":1,"stigmata":2},"category":"Very high risk (9)","interpretation":"Very high risk of rebleeding and mortality. Intensive monitoring and urgent intervention; consider ICU-level care.","preEndoscopicCategory":"High pre-endoscopic risk (6)","preEndoscopicInterpretation":"High risk on clinical grounds alone — manage as high-risk bleed until endoscopy clarifies.","method":"Rockall Complete (Rockall 1996 Gut)","model":"Rockall TA et al. Gut 1996;38(3):316-321. Not medical advice."}}}
年轻、稳定、无合并症、Mallory-Weiss、无出血征 → 完整 0（低危） 全部低危选项(0+0+0+0+0) → 完整 0。低危（再出血~4.9%、死亡~0%）——临床评估后可考虑早出院。入院前 0。{"result":"Rockall complete 0 (pre-endoscopic 0). Low risk (0).","metadata":{"input":{"age":"lt60","shock":"none","comorbidity":"none","diagnosis":"mw_none","stigmata":"none"},"result":{"total":0,"preEndoscopic":0,"components":{"age":0,"shock":0,"comorbidity":0,"diagnosis":0,"stigmata":0},"category":"Low risk (0)","interpretation":"Low risk (~4.9% rebleeding, ~0% mortality). Consider early discharge or outpatient management after clinical assessment.","preEndoscopicCategory":"Low pre-endoscopic risk (0)","preEndoscopicInterpretation":"Low clinical risk pre-endoscopy — clinical context still guides disposition.","method":"Rockall Complete (Rockall 1996 Gut)","model":"Rockall TA et al. Gut 1996;38(3):316-321. Not medical advice."}}}