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上消化道大出血临床上发病率高,病情凶险,早期诊断和治疗有利于挽救病人的生命,我院自1985～1995年10年间共作上消化道大出血急诊胃镜114例,现将其结果报导如下。 1 临床资料 本组114例中,男性82例,女性32例,年龄最大87岁,最小16岁,平均42.7岁。临床表现为黑便45例,呕吐咖啡色血或鲜血31例,二者均有为38例,全部病例估计出血量均在1000mL以上,有明显的血压和脉搏改变。出血后24小时内作胃镜检查96例,24～48小时内检查18例。
Upper gastrointestinal bleeding clinical high incidence, dangerous condition, early diagnosis and treatment is conducive to saving the lives of patients, our hospital from 1985 to 1995, a total of 10 cases of upper gastrointestinal bleeding in 114 cases of emergency gastroscopy, the results reported below . 1 Clinical data 114 cases of this group, 82 males and 32 females, the oldest 87 years old, minimum 16 years old, average 42.7 years old. Clinical manifestations of melena 45 cases, 31 cases of vomiting brown blood or blood, both of which were 38 cases, all cases were estimated bleeding in more than 1000mL, significant changes in blood pressure and pulse. 96 cases of gastroscopy within 24 hours after bleeding, 24 to 48 hours to check 18 cases.