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[目的]探讨少见病因引起的上消化道出血,以提高对上消化道出血的诊治。[方法]回顾性分析2003年6月~2009年5月间53例少见病因导致上消化道出血住院患者的临床资料。[结果]上消化道出血少见病因中以钩虫病、流行性出血热、十二指肠憩室、Dieulafoy病、胃手术后吻合口炎多见。[结论]少见病因引起的上消化道出血各有特点,其内镜和抑酸治疗仍占重要地位。
[Objective] To investigate the causes of rare upper gastrointestinal bleeding, to improve the diagnosis and treatment of upper gastrointestinal bleeding. [Method] The clinical data of 53 inpatients with upper gastrointestinal bleeding caused by rare etiology from June 2003 to May 2009 were retrospectively analyzed. [Results] Among the rare causes of upper gastrointestinal bleeding, hookworm, epidemic hemorrhagic fever, duodenal diverticula, Dieulafoy’s disease and anastomotic stoma were common. [Conclusion] The upper gastrointestinal bleeding caused by rare etiology has its own characteristics, and the endoscopic and acid-suppressing treatment still occupy an important position.