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作者自1990～1997年共检查上消化道出血病人160例,检出食管贲门粘膜裂伤综合征(Mallory-Weiss综合征,以下简称MW-S)16例,占上消化道出血原因的10％,并作了相应的治疗,现报道如下。 1.临床资料 一般资料 本组16例中,男12例,女4例,年龄27～56岁;门诊急诊12人,住院4人,病史均有轻重不等的干呕或呕吐,随后呕吐物中含有血液,早孕呕吐1例,尿毒症呕吐1例,晕车、船呕吐3例,饮酒后呕吐11例(69％)。12例为无症状性呕血及黑便,3例有心窝部隐痛,1例有上腹部隐痛,进食后烧灼感。呕吐鲜血(50～1000ml)12例,呕吐食物带血丝3例,单纯干呕1例。病程最长5天,最短1小时。 内境下特点 食管和胃的交界处和食管远端粘膜和粘膜下层呈纵行撕裂。单发15例,两处裂伤1例,裂
From 1990 to 1997, a total of 160 patients with upper gastrointestinal bleeding were examined and 16 cases of Mallory-Weiss syndrome (MW-S) were detected, accounting for 10% of the causes of upper gastrointestinal bleeding. , And made the appropriate treatment, are reported below. 1. Clinical data General Information The group of 16 patients, 12 males and 4 females, aged 27 to 56 years old; outpatient emergency 12, hospitalized 4, history of varying degrees of retching or vomiting, followed by vomit Containing blood, early vomiting in 1 case, uremia vomiting in 1 case, motion sickness, vomiting in 3 cases, vomiting after drinking 11 cases (69%). 12 cases of asymptomatic hematemesis and melena, 3 cases of fossa pain, 1 case of upper abdominal pain, burning sensation after eating. Vomiting blood (50 ~ 1000ml) in 12 cases, vomiting food bloodshot in 3 cases, simple retching in 1 case. Duration of up to 5 days, the shortest 1 hour. Intrinsic characteristics Esophageal and gastric junction and esophageal distal mucosa and submucosa were longitudinal tears. A single hair in 15 cases, two cases of laceration in 1 case, split