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我院1989~1993年收治的150例消化性溃疡显性出血(PUEB),皆有黑便和/或粪隐血≥++.均排除了食物、药物等其它因素引起的假阳性病例.本组患者中,男136%例,女14例,男女之比为9:1.年龄18~67岁,平均39.5岁.本组有71例(47.3%)有PU家族史,28例家族中有黑便和/或呕血史.粪隐血试验、血型:首次粪隐血++者29例(19.3%),卅42例(28.0%),卌79例(52.7%);检验血型75例,O型33例(44.0 %),A型18例(24.0%)B型15例(20.0%),AB型9例(12.0%).支持“O”型血人高发PU及出血的观察.症状、体征:106例(70.6%)出血发生于10月~翌年3月.110例(70.3%)有PU病史.本次出血前1周内有嗳气、反酸、上腹疼痛分别为30例(20.0%)、48例(32.0%)、78 例(52.0%).轻度失血69例
150 cases of peptic ulcer dominant bleeding (PUEB) were treated in our hospital from 1989 to 1993. All of them had melena and / or excrement occult blood≥ ++, all excluding false positive cases caused by other factors such as food and medicine. Among the patients, 136 were male and 14 were female, with a ratio of 9 to 1. The age ranged from 18 to 67 years, with an average of 39.5 years.There were 71 (47.3%) cases of PU in this group and 28 Blood stools were detected in 29 cases (19.3%), 42 cases (28.0%) and 79 cases (52.7%) in the fecal occult blood test. Blood tests were performed in 75 cases and O-33 15 cases (20.0%) were type B in 18 cases (24.0%), and 9 cases (12.0%) were type AB in type A. The symptoms and signs were observed in patients with “O” 106 cases (70.6%) of bleeding occurred from October to March of the following year, 110 cases (70.3%) had history of PU.At the first week before the bleeding, there were 30 cases (20.0% , 48 cases (32.0%), 78 cases (52.0%), mild blood loss in 69 cases