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本文报道21例运动致上消化道出血在此症诸多诱因中占27.63％。年轻人居多。症状轻重与运动负荷大小、情绪紧张程度呈正相关。病程与出血量无关,与组织病变程度密切相关。运动诱发上消化道出血原因以消化性溃疡尤以十二指肠溃疡居多,占50％,出血性胃炎占20％。运动致上消化道出血的机理多因运动中内脏血流灌注明显减少;体内自由基增加;β-内啡肽释放;加之精神紧张等使儿茶酚胺升高,胃及十二指肠粘膜局部血管痉挛,粘膜缺血缺氧,发生组织损伤致炎症、溃疡、出血。
In this paper, 21 cases of upper gastrointestinal bleeding caused by exercise in this disease a lot of incentives accounted for 27.63%. Most young people. Symptoms severity and exercise load size, emotional stress was positively correlated. The course of disease has nothing to do with the amount of bleeding, and the degree of tissue disease is closely related. The causes of upper gastrointestinal bleeding induced by peptic ulcer, especially duodenal ulcer, accounting for 50%, 20% of hemorrhagic gastritis. Exercise on the cause of upper gastrointestinal bleeding due to movement significantly reduced visceral perfusion; increased free radicals; β-endorphin release; coupled with mental stress such as catecholamine increased gastric and duodenal mucosal local vasospasm , Mucosal ischemia and hypoxia, tissue damage caused by inflammation, ulcers, bleeding.