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目的探讨本院消化内科上消化道出血患者的特点及相关因素,指导临床工作。方法回顾性分析本院消化内科2007～2009年收治的180例上消化道出血并经胃镜检查的临床病历资料。结果上消化道出血主要病因为十二指肠球部溃疡、胃溃疡、上消化道急性应激性黏膜病变、门脉高压性胃病、食管胃底静脉曲张破裂、复合性溃疡、胃癌,其中十二指肠球部溃疡的收治人数呈上升趋势。结论上消化道出血病因目前以十二指肠球部溃疡为主,中年人多见,男性多于女性,病死率有所上升。应加强消化性溃疡的防治,大力推广急诊内镜诊治,同时对内科保守治疗无效的患者应及时转送外科行手术治疗。
Objective To investigate the characteristics and related factors of patients with gastrointestinal bleeding in our department of gastroenterology and guide the clinical work. Methods A retrospective analysis of 180 cases of upper gastrointestinal bleeding treated by gastroscopy in our hospital from 2007 to 2009 was retrospectively analyzed. Results The main causes of upper gastrointestinal bleeding were duodenal ulcer, gastric ulcer, acute stress mucosa of upper gastrointestinal tract, portal hypertensive gastropathy, esophageal varices, complex ulcer and gastric cancer, of which ten Duodenal ulcer admitted number is on the rise. Conclusions The cause of upper gastrointestinal hemorrhage is mainly duodenal ulcer. Middle-aged people are more common, more males than females, and the mortality rate has risen. Should strengthen the prevention and treatment of peptic ulcer, and vigorously promote the emergency endoscopic diagnosis and treatment, while conservative medical treatment ineffective patients should be promptly surgically surgically treated.