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1980～1991年我院行胃镜检查共11200例,其中上消化道出血175例,占1.56％,检出贲门粘膜撕裂18例,占同期上消化道出血的10.3％,简要报告如下。一般资料:18例食道贲门粘膜撕裂综合征病人均经胃镜检查确诊。其中男15例,女3例,年龄19～41岁,平均34岁。主要症状为左上腹胀痛,呕血。呕血量约300～800ml。48小时内检出11例,第3～5天检出7例。4例在出血停止1周后行X线钡剂造影均未发现病灶。内窥镜所见:除2例为2个裂口外,其余均为单一裂口,共计20个裂口,其长度为0.5～2.1cm不等。其中16个裂口呈线状纵形,4个呈纺缍形。发生在贲门口3例(16.7％),食道贲门交界处10例(55.5％),食道下段5例(27.8％)。四壁定位:小弯侧10例
1980-1991 years, our hospital endoscopy 11200 cases, of which 175 cases of upper gastrointestinal bleeding, accounting for 1.56%, detected cardia mucosal tear in 18 cases, accounting for 10.3% of upper gastrointestinal bleeding in the same period, a brief report is as follows. General Information: 18 cases of esophageal and gastric cardial tear syndrome were diagnosed by gastroscopy. Including 15 males and 3 females, aged 19 to 41 years, mean 34 years. The main symptoms of left upper quadrant pain, hematemesis. Hematemesis about 300 ~ 800ml. In 48 hours, 11 cases were detected and 7 cases were detected on days 3 to 5. 4 patients stopped bleeding in 1 week after the line X-ray barium imaging were not found lesions. Endoscopic findings: In addition to 2 cases of 2 rips, the rest are a single rips, a total of 20 rips, the length of 0.5 ~ 2.1cm range. Sixteen of the breaches were linear longitudinally and four were spun. Occurred in the cardia in 3 cases (16.7%), esophageal cardia junction in 10 cases (55.5%), esophageal lower 5 cases (27.8%). Four wall positioning: 10 cases of small curved side