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1、1Acute upper gastrointestinal bleeding Analysis of 90 casesAbstract Objective To investigate the characteristics of patients with upper gastrointestinal bleeding and related factors. Methods Retrospective analysis of hospital 2006.1 2011.1 were treated 90 cases of upper gastrointestinal bleeding and
2、 endoscopy examination of the clinical medical records of results on major gastrointestinal bleeding because of duodenal ulcer disease, gastric ulcer, acute mucosal lesions, portal hypertensive gastropathy, esophageal varices, complex ulcer, gastric cancer, duodenal ulcer among the most common Concl
3、usions on digestion Road, currently the cause of bleeding duodenal ulcer based, middle-aged more common, more men than women should be vigorously promoted emergency endoscopic diagnosis and treatment of patients with ineffective conservative treatment should be promptly transferred surgery surgical
4、treatment. Keywords Clinical analysis of upper 2gastrointestinal bleeding Upper gastrointestinal bleeding is a common clinical emergency is one of flexor ligament above the esophagus, stomach, duodenum, pancreas and gall bladder disease and other gastric anastomosis jejunum lesions caused by bleedin
5、g. Can occur in all age stage, many causes of bleeding, and sometimes because they can not delay the timely diagnosis and treatment, such as timely diagnosis to guide treatment and improve the prognosis for beneficial 1 In order to understand the causes of bleeding, predisposing factors and treatmen
6、t of the law, our hospital from 2006 to 2011 In 90 cases admitted to hospital with upper gastrointestinal bleeding were retrospectively analyzed results are as follows. 1 Materials and Methods 1.1 General data collection January 1, 2006 to January 1, 2011 due to “vomiting and (or black stools,” admi
7、tted, and in 24 96h Nei endoscopy clear causes of bleeding of upper gastrointestinal bleeding patients, 90 patients were male and 75 cases (83.1%, and 15 females (16.9%, age 15 to 85 years, mean age 51.08 years, of which 40 years of age in 322 cases (24.3%, 40 to 60 years in 40 patients (44.0%, more
8、 than 60 years 28 cases (31.7%. 1.2 The statistical methods used statistical software SPSS 15 0 for Chi-Square test. 2 results 2.1 Clinical manifestations of 90 patients had varying degrees of vomiting blood or black stools, abdominal tenderness, moderate and severe bleeding in the short term perfor
9、mance of acute peripheral circulatory failure, there are different degrees of dizziness, syncope, fatigue, cold sweat, heart rate speed up, pale and blood pressure. 2.2 Diagnosis of all patients were diagnosed by endoscopy, where 27 cases of duodenal ulcer, gastric ulcer in 20 cases, complex ulcer,
10、13 cases of erosive gastritis in 10 cases, 4 cases of gastric cancer, liver cirrhosis and esophageal and gastric variceal varices in 15 cases, liver cirrhosis and peptic ulcer and gastric variceal bleeding from the ulcer in 1 case. 2.3 Treatment Mainly to stop bleeding and 4treatment of primary dise
11、ase. Main measures: When a patient is in shock or bloating, nausea, in the case should be fast, a large number of non-bleeding patients should eat as soon as possible, given the cold liquid diet, a reasonable application of hemostatic agents such as tranexamic acid, blood clotting enzyme , an envelo
12、pe of blood, etc., while giving the proton pump inhibitors, gastric mucosal protective agents and continuous infusion of somatostatin analogues for esophageal variceal bleeding were part of a three-balloon catheter hemostasis; shock to supplement blood volume, blood transfusion and other anti-shock
13、measures after conservative treatment after 24h bleeding or bleeding blood pressure to normal again, past had a number of serious bleeding, unstable blood pressure who swerved surgery. Links to free download Prognosis Center http:/2.4 All the patients after active treatment and care, 84 patients wer
14、e cured and discharged from hospital, 6 died. 3 Discussion 3.1 The causes of bleeding Hematemesis and tarry is on the characteristic features of 5gastrointestinal bleeding, a common cause of bleeding are: ulcer disease, acute upper gastrointestinal bleeding is the most common cause of ulcer disease
15、in this group 66.1%, occupy the first acute upper gastrointestinal bleeding were more common in young men, bleeding caused mostly with alcohol, fatigue, emotional stress, poor diet, drugs to stimulate and so on. This is reported in the literature of the main reasons for upper gastrointestinal bleedi
16、ng duodenal ulcer match, gastric cancer, mostly middle-aged, the incidence rate increasing trend, and usually for young people by gastrointestinal bleeding caused by gastric cancer cases is also increasing, cirrhosis and acute upper gastrointestinal bleeding, mostly for esophageal gastric variceal bleeding; non-steroidal anti-inflammatory drugs, taking non-steroidal anti-inflammatory drug-induced ulcers and the resultant increase
