摘要
目的回顾性分析424例消化道出血的病因及检查手段,指导临床诊治。方法分析从2009年10月至2011年10月在郑州大学第一附属医院住院的424例消化道出血患者的临床资料,对其病因及检查方法进行总结。结果 281例位于上消化道,143例位于下消化道,上消化道出血最常见病因为消化性溃疡(37.1%),其次是食管胃底静脉曲张(27.4%)及肿瘤(15.7%),下消化道出血的主要病因是溃疡性结肠炎(24.5%)和肿瘤(21.0%),胃肠镜仍是消化道出血的首选检查,在胃肠镜阴性的病例中,以手术及小肠镜诊出率最高。结论上消化道出血病因以消化性溃疡占首位,下消化道出血病因以溃疡性结肠炎占首位,应加强小肠镜在临床中的应用。
Objective To investigate the etiology and checking methods of 424 gastrointestinal hemorrhage cases,to instruct clinical diagnosis and therapy.Methods TotallyThe date of 424 patients admitted to The First Affiliated Hospital of Zhengzhou University with gastrointestinal hemorrhage from October 2009 to October 2011 were analyzed,the etiology and checking methods was summarized.Results Totally 281 cases were located in upper gastrointestinal,143 cases were located in lower gastrointestinal.Peptic ulcer（37.1%） was the leading cause for upper gastrointestinal bleeding,next were esophagogastric variceal bleeding（27.4%） and tumour（15.7%）.Ulcerative colitis（24.5%） was the leading cause for lower gastrointestinal bleeding,next were tumour（21.0%）,gastroscope and colonoscopy will still be the priority checking methods of gastrointestinal hemorrhage,in the negative cases,operation and push enteroscopy were the highest checking methods to diagnosze the etiology.Conclusions The most common site of gastrointestinal bleeding located in upper gastrointestinal,the first causation of bleeding was peptic ulcer in upper gastrointestinal and ulcerative colitis in lower gastrointestinal respectively.The enteroscopy is recommended in diagnosis of gastrointestinal bleeding.
出处
《医药论坛杂志》
2012年第4期64-65,68,共3页
Journal of Medical Forum
关键词
消化道出血
病因
诊断
Gastrointestinal bleeding
Etiology
Diagnosis
