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[背景]分析上消化道出血的病因.[病例报告]回顾性分析2013年1月—2014年12月间急诊内科收治的117例上消化道出血患者的临床资料.上消化道出血病因中消化性溃疡54例(46.2%),急性胃黏膜损害29例(24.8%),食管静脉曲张14例(12.0%),肝硬化9例(7.7%),胃癌7例(6.0%),其他4例(3.4%);老年上消化道出血原因以胃溃疡多见,而中青年以食管胃底静脉曲张和幽门螺杆菌感染多见.[讨论]急性上消化道出血的主要病因为消化性溃疡、急性胃黏膜损害、食管静脉曲张等,积极找出病因,给予合理治疗可提高抢救成功率.
[Background] To analyze the causes of upper gastrointestinal bleeding. [Case Report] Clinical data of 117 patients with upper gastrointestinal bleeding admitted to Department of Emergency Medicine from January 2013 to December 2014 were retrospectively analyzed. There were 54 cases (46.2%) of ulcer, 29 cases (24.8%) of acute gastric mucosal lesion, 14 cases (12.0%) of esophageal varices, 9 cases of liver cirrhosis (7.7%), 7 cases of gastric cancer (6.0% (3.4%); upper gastrointestinal bleeding causes more common gastric ulcer, and young to esophageal varices and Helicobacter pylori infection more common [Discussion] The main causes of acute upper gastrointestinal bleeding peptic ulcer, Acute gastric mucosal damage, esophageal varices, etc., to actively identify the cause, give reasonable treatment can improve the success rate of rescue.