八、急性胃粘膜病变 多因解热镇痛药如阿斯匹林、消炎痛,类固醇激素,饮酒及各种应激状态下发生急性胃粘膜糜烂、浅溃疡和出血,是上消化道出血的常见原因,约占11～36％。 [诊断要点] (一) 病史 多有服药史、饮酒史,或有应激状态如严重外伤、大手术、颅脑疾病和严重感染等病史。 (二) 临床表现 主要为急性上消化道出血,表现为呕血及柏油样便,可导致出血性休克。此外可有腹痛、反酸、腹胀等。 Eight, acute gastric mucosal lesions and more due to antipyretic analgesics such as aspirin, indomethacin, steroid hormones, alcohol and acute gastric mucosal erosion occurs under various stress conditions, shallow ulcers and bleeding, upper gastrointestinal bleeding Common reasons, accounting for about 11 ~ 36%. [Diagnostic points] (A) history and more medication history, history of drinking, or have stress conditions such as severe trauma, major surgery, craniocerebral disease and serious history of infection. (B) the main clinical manifestations of acute upper gastrointestinal bleeding, manifested as hematemesis and tarry stool can lead to hemorrhagic shock. In addition there may be abdominal pain, acid reflux, bloating and so on.