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1920年Mallory及Weiss二氏报告四例上消化道大出血致死的病例,尸检发现近端胃粘膜有线形、非穿孔性撕裂,病人呕血前均有明显的恶心与呕吐。①嗣后,文献上陆续有所报导,1966年Dagradi氏报告了30例,并总结以往文献共98例,其中手术探查证实者43例,尸检发现者37例,食管镜发现者9例,胃镜发现者9例。②纤维胃镜问世以后,本病的发现逐有增加,最近,Knauer报告纤维内镜证实的58例,并总结国际文献,共报告近400例,说明本病并非罕见,且认为是上消化道大出血的常见病因之一。
In 1920, Mallory and Weiss reported four cases of death from upper gastrointestinal bleeding. The autopsy revealed a linear and non-perforated tear in the proximal gastric mucosa. All patients had obvious nausea and vomiting before hematemesis. ① Subsequently, the literature reported one after another, 1966 Dagradi’s report of 30 cases, and summarizes a total of 98 cases in the past literature, including 43 confirmed surgical exploration, autopsy 37 were found in esophagoscopic findings in 9 cases, endoscopy found In 9 cases. ② The advent of fiber gastroscopy after the discovery of this disease by an increase, recently, Knauer report of fiber endoscopy confirmed 58 cases, and summarizes the international literature, a total of nearly 400 cases reported, the disease is not uncommon, and that upper gastrointestinal bleeding One of the common causes of.