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目的探讨少见病因上消化道出血的临床表现、内镜表现、治疗及预后,以提高对相关疾病的认识。方法回顾性分析2003年3月~2008年3月期间收住院的47例上消化道出血的临床资料。结果少见病因上消化道出血中以Dieulafoy病、十二指肠憩室、食管炎、Mallory-Weiss综合征及胃切除吻合口炎多见,且内镜下治疗和抑酸治疗效果好。结论少见病因上消化道出血的特点各不同,内镜下治疗和抑酸是有效的治疗措施。
Objective To investigate the clinical manifestations, endoscopic findings, treatment and prognosis of rare causes of upper gastrointestinal bleeding in order to improve their understanding of related diseases. Methods The clinical data of 47 cases of upper gastrointestinal bleeding admitted to hospital from March 2003 to March 2008 were retrospectively analyzed. Results rare causes of upper gastrointestinal bleeding Dieulafoy disease, duodenal diverticulum, esophagitis, Mallory-Weiss syndrome and gastrectomy anastomosis more common, and endoscopic treatment and acid suppression treatment effect. Conclusions The rare causes of upper gastrointestinal bleeding have different characteristics. Endoscopic treatment and acid suppression are effective therapeutic measures.