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上消化道出血是指食管、胃、十二指肠、胃空肠吻合术后上段空肠、胰腺、胆道疾患出血进入十二指肠引起的出血。为临床上常见的急症之一,急性大出血可威胁患者生命,以往的病死率约为10％。 1.病因:总括上消化道出血病因计40余种,以溃疡病居首位,其顺序为食管静脉曲张破裂出血,各种胃炎、胃肿瘤及应激性溃疡等。 2.诊断:(一)通过病史了解、体格检查、有关实验室检查对多数出血病例,可得到初步诊断。(二)急诊胃镜检查是一项安全有效的方法,多选在出血停
Upper gastrointestinal bleeding refers to the esophagus, stomach, duodenum, upper gastrojejunostomy after jejunum, pancreas, biliary tract disease bleeding into the duodenum caused by bleeding. A common clinical emergency, acute bleeding can threaten the lives of patients, the previous case fatality rate of about 10%. 1. Etiology: a total of more than 40 kinds of causes of gastrointestinal bleeding, the first in order to ulcer disease, the order of esophageal variceal bleeding, a variety of gastritis, gastric cancer and stress ulcers. 2. Diagnosis: (a) through the history of understanding, physical examination, laboratory tests on the majority of cases of bleeding can be a preliminary diagnosis. (B) emergency gastroscopy is a safe and effective method, multiple choice stop bleeding