摘要
本文报道了对34例上消化道出血住院患者在出血期及血止后二周分别进行白细胞计数、生理指标综合观察(y值)、唾液淀粉酶活性比值及临床症状分类观察。同时,设立30例具有相同病理基础的非出血住院患者作对照,同样进行上述检测,并将它们的结果作组内及组间观察对比。结果表明,观察组出血时白细胞计数、y值比血止后增高(p=0.0001),唾液淀粉酶活性比值也较血止后增高(p<0.05),并超过正常平均值,临床症状分类观察,几乎集中于火热症状及血虚症状,脾虚症状在出血时少见。初步表明,在上消化道出血期间,主要是火热熏灼,迫血妄行,证属脾虚者甚少。
The article reports 34 cases of hemorrhage of upper digestive tract. During the time when the patients had bleeding and two weeks after bleeding stopped, WBC-count and comprehensive physiological index(Y-value) were examined, and the ratio of saiivin activity and clinical symptoms were observed. Meanwhile, 30 cases with the same pathogenic basis but with no bleeding were also examined as the control group.
The results show that WBC-count and Y-value markedly increased during bleeding(P=0.0001), and the ratio of salivin activity also increased(P<0.05), which exceeded the normal mean value. As for the classification of clinical symptoms, almost all the cases were of fire-heat type or blood-deficiency type, only a few cases were of spleen-asthenia type. This indicates that hemorrhage of upper digestive tract are largely caused by pathogenic fire, which leads to extravasation Of blood.
关键词
消化性溃疡
出血
病理
PEPTIC ULCER HEMORRHAGE/Pathogenesis(TCM) PATH OGEN FIRE(TCM)
