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我科于1988年～1989年间,采用制大黄治疗急诊上消化道出血57例,有效率达92.9%。现总结如下。临床资料男47例,女10例。年龄最大1例为80岁,最小1例为16岁,40～59岁26例,以中年为多。病因通过胃镜检查发现胃及十二指肠球部溃疡9例,慢性胃炎11例,胃癌5例,胃镜无阳性发现者2例,胃癌伴肝癌1例,肝硬化食道静脉曲张破裂伴十二指肠炎出血1例。余28例拒作胃镜检查。57例中,呕血伴黑便20例,仅有黑便者37例。呕血除肝硬化门脉高压致上消化道出血1例外,均呈咖啡色。呕
Our department from 1988 to 1989, the use of rhubarb treatment of emergency upper gastrointestinal bleeding in 57 cases, the effective rate of 92.9%. Now summarized as follows. Clinical data of 47 males and 10 females. The oldest one case was 80 years old, the smallest one case was 16 years old, 40 to 59 years old in 26 cases, middle-aged more. Etiology Gastroscopy and duodenal ulcer found in 9 cases, 11 cases of chronic gastritis, 5 cases of gastric cancer, gastroscopy found no positive in 2 cases, 1 case of gastric cancer and liver cancer, cirrhosis esophageal varices with 12 fingers Enteritis bleeding in 1 case. More than 28 cases refused gastroscopy. 57 cases, hematemesis with melena 20 cases, only 37 cases of melena. Hemoptysis in addition to liver cirrhosis and portal hypertension caused by an exception, were brown. vomit