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食管贲门粘膜撕裂综合征又名Mallory-Weiss综合征,是消化系统急症之一。本文复习文献并结合我院近年住院确诊的5例,讨论其临床特点。临床资料 5例患者,男4例,女1例。年龄26～61岁。发病诱因服中药2例,进食生冷硬饭、异物及十二指肠球部溃疡伴胃酸增高各1例。临床表现均为上述诱因所致干呕(5/5)或呕吐(4/5),随后出现呕血成黑便。呕血量<300ml者4例,次数少>1500m1者1例,呕血次数多。呕血颜色鲜红者2例,咖啡色3例。4例出现黑便或粪潜血阳性,1例阴性。出现上腹疼痛者4例胃不适1例。5例中不同程度出现头昏、乏力、心慌等。5例均经胃镜确诊,其中急诊胃镜3例,2例一周后才诊断。食管
Esophageal and gastric mucosal tearing syndrome, also known as Mallory-Weiss syndrome, is one of the digestive emergency. This article review the literature combined with our hospital in recent years confirmed the diagnosis of 5 cases, discuss its clinical features. Clinical data of 5 patients, 4 males and 1 female. Age 26 ~ 61 years old. Incentives to take the Chinese medicine in 2 cases, eating raw chilled rice, foreign body and duodenal ulcer with gastric acid increased in 1 case. Clinical manifestations were caused by the above-mentioned causes of retching retching (5/5) or vomiting (4/5), followed by vomiting into melena. Hematerhea <300ml in 4 cases, fewer cases> 1500m1 in 1 case, hematemesis and more. Hematemesis red in 2 cases, brown in 3 cases. 4 cases of melena or fecal occult blood positive, 1 negative. 4 cases of abdominal pain in 1 case of stomach upset. 5 cases of varying degrees of dizziness, fatigue, palpitation and so on. 5 cases were diagnosed by gastroscopy, including emergency gastroscopy in 3 cases, 2 cases a week after diagnosis. esophagus