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为提高上消化道出血的诊断水平,本文将1993年1月至1999年12月我院收治的364例分析如下。 1 临床资料 364例中,男308例(84.6%),女56例(15.4%)。年龄12～82岁,其中<60岁233例,≥60岁131例。临床表现为单纯黑便213例;呕血、黑便并血压、血红蛋白下降73例;以其他病变为主病的呕血、黑便48例;药物及酒精引起的呕血、黑便30例。 2 诊断和治疗结果 364例中,132例在出血48h内行胃镜检查,166例在出血7天内行胃镜检查,66例因病情危重未做胃镜检查。诊断结果见附表。
To improve the diagnosis of upper gastrointestinal bleeding, this article from January 1993 to December 1999 admitted to our hospital 364 cases are analyzed as follows. 1 clinical data 364 cases, 308 males (84.6%), 56 females (15.4%). Aged 12 to 82 years, of which <60 years old 233 cases, ≥ 60 years old in 131 cases. Clinical manifestations of simple melena 213 cases; hematemesis, melena and blood pressure, hemoglobin decreased 73 cases; other diseases-based hematemesis, melena 48 cases; drug and alcohol-induced hematemesis, melena 30 cases. 2 Diagnosis and treatment results 364 cases, 132 cases within 48h bleeding endoscopy, 166 cases within 7 days of bleeding gastroscopy, 66 cases of critically ill patients without gastroscopy. Diagnostic results in the schedule.