论文部分内容阅读
食管一贲门粘膜撕裂综合征,又称Mallory-Weiss综合征,占上消化道出血病例的2～4.1%.现结合文献介绍其发病诱因、机理、诊断及治疗。一、诱因主要为剧烈呕吐后引起呕血,一般为少量,但也有大出血致休克者,10～25%的病例由剧烈咳嗽.打喷嚏、呃逆、哮喘、癫痫发作、胸外按摩及分娩所引起.此外,用力解便、举重、胃镜检查及洗胃过程中亦可发生.原有食管裂孔疝、食管炎、肝硬化腹水、妊娠毒血症等更易发生。
Esophageal mucosal tear syndrome, also known as Mallory-Weiss syndrome, accounting for 2 to 4.1% of cases of upper gastrointestinal bleeding. Now combined with the literature describes its causes, mechanism, diagnosis and treatment. First, the predisposition is mainly caused by vomiting after vomiting hematemesis, usually a small amount, but there are also bleeding caused by shock, 10 to 25% of cases of severe coughing, sneezing, hiccups, asthma, seizures, chest massage and childbirth caused. In addition, forced release, weight lifting, gastroscopy and gastric lavage may also occur in the process of the original esophageal hiatal hernia, esophagitis, cirrhosis, ascites, pregnancy more likely to occur.