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急性胃粘膜损害是上消化道出血的常见病因,作者对202例急性胃粘膜损害的临床资料进行总结分析,旨在提高对急性胃粘膜损害的认识。1 临床资料1.1 一般资料 自1994年5月至1999年5月我们经胃镜确诊的急性胃粘膜损害202例,其中男140例,女62例,男女之比为2.6:1。<20岁2例,20～30岁40例,30～40岁42例,40～50岁41例,50～60岁38例,>60岁40例。2.2 诱因 药源性120例(59.4％),其中因服用阿斯匹林34例、扑炎痛30例、消炎痛20例、速效伤风胶囊30例、强的松6例。暴饮暴食52例(25.7％),其中酗酒42例。应激8例(3.8％),其中脑血管意外1例、外伤3例、过度紧张劳累4例。无明显诱因22例(10.9％)。2.3 临床表现 全部病人均以突发呕血或(和)黑便为主要
Acute gastric mucosal injury is a common cause of upper gastrointestinal bleeding. The author summarized the clinical data of 202 cases of acute gastric mucosal lesions, aimed at raising awareness of acute gastric mucosal lesions. 1 Clinical data 1.1 General Information From May 1994 to May 1999 our gastroscope confirmed acute gastric mucosal lesions in 202 cases, of which 140 males and 62 females, male to female ratio of 2.6: 1. <20 years of age in 2 cases, 20 to 30 years in 40 cases, 30 to 40 years in 42 cases, 40 to 50 years in 41 cases, 50 to 60 years in 38 cases,> 60 years in 40 cases. 2.2 induced drug-induced 120 cases (59.4%), which took aspirin in 34 cases, 30 cases of inflammatory pain, indomethacin in 20 cases, 30 cases of quick-acting capsules, prednisone in 6 cases. 52 cases of overeating (25.7%), including 42 cases of heavy drinking. Stress was 8 cases (3.8%), of which 1 case of cerebrovascular accident, 3 cases of trauma, 4 cases of excessive stress exertion. No obvious incentive in 22 cases (10.9%). 2.3 Clinical manifestations of all patients with sudden hematemesis or (and) black will be the main