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贲门粘膜撕裂综合征又叫Mallory-Wess综合征。由于上消化道出血的急诊内镜检查,近年来发现率明显增加。本文对急诊胃镜检查确诊的24例进行分析。 1 资料和方法 1.1 一般资料 自1987年1月～1993年12月,我科对256例上消化道出血患者,作急诊胃镜检查,确诊为贲门粘膜撕裂综合征者24例,占9.38％。其中男18例,女6例,年龄18～60岁,平均年龄31.4岁。 1.2 发病诱因,症状和体征 ①发病诱因:饮酒过量6例,晕车2例,妊娠反应1例,溃疡病急性发作10例,慢性胃炎急性发作3例.原因不明上腹疼痛2例。②症状:恶心5例,呕吐、呕血16例,量为100～1500ml不等,平均呕血量为600ml,解黑便3例,上腹疼痛19例,饱闷不适5例。③体征:上腹压痛21例,无阳性体征3例。 1.3 胃镜检查 全部病例均在发病后14～72小时内行急诊胃镜检查,方法:对出血患者进行检查,确无禁忌症充分细致地作好术前解释,使患者情绪稳定配合,作术前准备后行常规胃镜检查。对撕裂长度我们采用喷洒药用胶管插入镜内行估计测量。
Cardiac mucosal tearing syndrome is also called Mallory-Wess syndrome. Due to the emergency endoscopic examination of upper gastrointestinal bleeding, the discovery rate in recent years increased significantly. In this paper, 24 cases diagnosed by emergency gastroscopy were analyzed. 1 Materials and Methods 1.1 General Information From January 1987 to December 1993, 256 cases of upper gastrointestinal bleeding in our department for emergency gastroscopy, diagnosed with cardial mucosal tear syndrome in 24 cases, accounting for 9.38%. There were 18 males and 6 females, aged from 18 to 60 years, with an average age of 31.4 years. 1.2 Incentives, symptoms and signs ① Incentives: excessive drinking in 6 cases, 2 cases of motion sickness, pregnancy reaction in 1 case, 10 cases of acute ulcer disease, acute gastritis in 3 cases. Unexplained abdominal pain in 2 cases. ② Symptoms: nausea in 5 cases, vomiting, hematemesis in 16 cases, the amount of 100 ~ 1500ml range, the average hematemesis was 600ml, black solution in 3 cases, 19 cases of abdominal pain, full of discomfort in 5 cases. ③ signs: 21 cases of abdominal tenderness, no positive signs in 3 cases. 1.3 Gastroscopy All cases were 14 to 72 hours after the onset of emergency gastroscopy, methods: bleeding patients were checked, no contraindications do a full and meticulous preoperative interpretation, so that patients with emotional stability, for preoperative preparation Routine gastroscopy. The length of the tear we use the medical tube inserted into the hose to estimate the measurement line.