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我科1983年7月至1986年11月收治急性上消化道出血256例,全部作纤维内窥镜检查,现分析如下。一、一般资料:男202例,女54例.呕血46例(17.9%),黑便153例(59.7),二者兼有63例(25.0%).二、急症内镜检查:采用 Otympus JFB_4纤维内镜,发病24小时内检查233例,24～46小时23例.病灶发现率分别为92.2%和73.9%,总发现率为90.6%.三、结果:消化性溃疡99例(38.6%),急性粘膜病变65例(25.4%),慢性胃炎23例(9.0%),胃癌23例(9.0%),其它22例(8.6%),未见出血病变24例(9.4%).镜检发现胆汁返流73例(28.5%).
Our department from July 1983 to November 1986 admitted to acute upper gastrointestinal bleeding 256 cases, all for fiber endoscopy, are analyzed as follows. First, the general information: 202 males and 54 females, hematemesis 46 cases (17.9%), melena 153 cases (59.7), both of which 63 cases (25.0%) Second, the emergency endoscopy: using Otympus JFB_4 Among them, 233 cases were diagnosed within 24 hours and 23 cases were from 24 to 46 hours.The detection rates of lesions were 92.2% and 73.9%, respectively, the total detection rate was 90.6% .Results: Peptic ulcer was found in 99 cases (38.6%), , 65 cases (25.4%) of acute mucosal lesions, 23 cases of chronic gastritis (9.0%), 23 cases of gastric cancer (9.0%), the other 22 cases (8.6%) and 24 cases (9.4%) of hemorrhagic lesions. Bile reflux in 73 cases (28.5%).