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我科1983年至1986年收治经纤维内镜检查的急性上消化道出血256例,分析如下.一、一般资料:男202例,女54例,20～50岁占70.7%.出血情况:呕血46例(17.9%)黑便153例(59.7%),二者兼有63例(25.0%)二、嗜酒史:有嗜酒史者48例,因酗酒在12小时内呕血、黑便者16例.有慢性酒精中毒史者32例.三、急症内镜检查:采用 Olympus JFB_4纤维内镜,出血后24小时内233例,24～48小时23例.出血病灶发现率分别为92.2%和73.9%.镜检结果:消化性溃疡99例(38.6%),急性粘膜病变65例(25.4%)、慢性胃炎、胃癌分别为23例(9%)、
A total of 256 cases of acute upper gastrointestinal bleeding treated by fiber endoscopy from 1983 to 1986 were analyzed as follows: I. General Information: There were 202 males and 54 females, accounting for 70.7% of the patients aged 20 to 50. Bleeding: hematemesis There were 153 cases (59.7%) of them with melena in 46 cases (17.9%), 63 cases (25.0%) both. Alcohol abuse history: 48 cases with history of alcohol abuse, vomiting blood in 12 hours due to alcohol abuse, 16 cases.Diagnosis of chronic alcoholism in 32 cases. Third, the emergency endoscopy: using Olympus JFB_4 fiber endoscopy, 233 cases within 24 hours after hemorrhage, 24 to 48 hours in 23 cases.The detection rate of hemorrhagic lesions were 92.2% and 73.9% .The results of microscopic examination included peptic ulcer in 99 cases (38.6%), acute mucosal lesions in 65 cases (25.4%), chronic gastritis and gastric cancer in 23 cases (9%),