摘要
目的分析发生在高原地区伴有高原红细胞增多症的上消化道出血症患者,总结其发病原因、临床特点。方法选择发生在川西高原地区海拔2700～4000m生活的30例伴有高原红细胞增多症的上消化道出血的患者作为高红组,选择同期高原地区非高红症伴有上消化道症状的30例患者为对照组,就其诱发因素、发病特点、胃镜检查结果进行比较分析。结果两组患者发病的主要原因差异有统计学意义(P<0.05),两组患者胃镜下胃粘膜的改变也有明显差别(P<0.05)。发病诱因与低氧、饮酒、服用NSAID s类药物和劳累关系密切。并且少数民族(主要藏族羌族)区别于汉族人的生活习性也致发病率增高。结论高原红细胞增多症合并上消化道出血的主要原因是胃、十二指肠疾病,上消化道出血发病率高。
Objective Analyzing hemorrhage syndrome cases of altitude erythrocytosis UGI of plateau section,and summarize the etiology and clinic features.Methods Select 30 patients suffer from altitude erythrocytosis UGI hemorrhage syndrome who live in west Sichuan plateau area as a team,and 30 patients suffer from the UGI disease who live in plateau area at the same term as the matched group.Make comparative analysis of causative factor,characteristics of pediatric sepsis and gastroscopy between the two teams.Results The main etiology of the two teams is significantly different（P0.05）,and the change of gastric mucosa under gastroscope is also distinctively different（P0.05）.The predisposing is closely related to hypoxia,drink,NSAIDs medicine and fatigue.Besides,the life habit of the monorities（Tibetan and Qiang） also causes the high incidence of disease.Conclusion The main reason for altitude erythrocytosis UGI hemorrhage syndrome is because of diseases of the stomach and duodenum.
出处
《四川医学》
CAS
2011年第4期492-494,共3页
Sichuan Medical Journal
