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一、急性胃粘胰病的定义及概念急性胃粘膜病(AGML)表现为突发性上腹部疼痛、呕吐、呕血及便血等消化道症状。根据急诊内镜检查分为急性胃炎、急性出血性胃炎、急性胃粘膜糜烂、急性胃粘膜出血性糜烂和急性胃溃疡五种类型。从外科的观点来看,对手术、外伤和灼伤等为诱因的机体应激而产生的应激性胃溃疡,药物或精神刺激等其他诱因引起的急性出血性胃溃疡,施行各种药物疗法和内镜止血等保守治疗不能达到止血的目的。二、急性出血性胃溃疡手术病例的研究1.病例在1978～1988年的11年间,作者对30例急性出血性胃溃疡施行了手术,其中3例伴有十二指肠溃疡病变。年龄7～91岁(平均60.7岁),70岁
First, the definition and concept of acute gastric mucosal disease Acute gastric mucosal disease (AGML) showed sudden upper abdominal pain, vomiting, hematemesis and blood in the stool and other gastrointestinal symptoms. According to the emergency endoscopy are divided into acute gastritis, acute hemorrhagic gastritis, acute gastric mucosal erosion, acute gastric mucosal hemorrhagic erosion and acute gastric ulcer five types. From a surgical point of view, acute gastric ulcer caused by stress, such as surgery, trauma and burns, and other causes such as drug or mental stimulation, and various drug therapy and Endoscopic hemostasis and other conservative treatment can not achieve the purpose of hemostasis. Second, the study of acute hemorrhagic gastric ulcer surgery cases 1. Cases in 1978 to 1988, 11 years, the authors of 30 cases of acute hemorrhagic gastric ulcer surgery, of which 3 cases associated with duodenal ulcer lesions. Ages 7 to 91 years old (average 60.7 years old), 70 years old