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本院自1961—1973年收治上消化道大出血2218例,死亡100例,病死率为4.5％。现将100例死亡病例分析如下: 100例死亡病例中,以肝硬化食道静脉曲张出血者最多,计64例,占同时期食道静脉曲张出血住院病人168例的38.1％;其次为胃癌出血,39例中死亡12例,病死率32.1％;1244例溃疡病出血住院患者中21例死亡,病死率为1.7％,此外还有胃粘膜下血管硬化(2例),血小板减少性紫癜(1例),分别占本病住院患者5.6％及100％。男性79例,女性21例,男女之比为3.8:1;年龄自21—81岁,83％在40岁以上,其中溃疡病,胃癌及血管硬化尤多见于老年患者,肝硬化食道静脉曲张出血死亡以21—50岁的青年及中年为多。出血情况:呕血或伴有黑便者各41例,
The hospital from 1961 to 1973 admitted to upper gastrointestinal bleeding in 2218 cases, 100 patients died, the case fatality rate was 4.5%. 100 cases of death are now analyzed as follows: 100 cases of deaths in patients with cirrhosis esophageal varices bleeding most 64 cases, accounting for the same period esophageal variceal bleeding in 168 cases of hospitalized patients 38.1%; followed by gastric cancer hemorrhage 39 Among the 1244 patients with ulcer bleeding, 21 were fatal and the case fatality rate was 1.7%. In addition, there were gastric mucosal sclerosis (2 cases), thrombocytopenic purpura (1 case) Accounting for 5.6% and 100% of the patients in hospital. There were 79 males and 21 females, the ratio of men to women was 3.8: 1. The age ranged from 21 to 81 years and 83% was over 40 years old. Among them, ulcer disease, gastric cancer and vascular sclerosis were more common in elderly patients with cirrhosis, esophageal varices bleeding Death to 21-50 years old and middle-aged more. Bleeding: hematemesis or melena associated with 41 cases each,