1520例上消化道出血病因与临床特点分析.pdfVIP

12 2011 23 1 1 520 * , , ( , , 230022) : 6 2004 2009 1 520 ( 1) , = 3. 4 1, 52. 8( 14~ 102) 38( 2. 5% ), 52. 6% , 47. 4% ( 2) 5 ( 3) 602004~ 2009: 31. 1%31. 9%32. 4%42. 7%38. 1% 50. 5% , ( 21. 6% ) , , , , , , : ; ; [] R 5732 [] A [] 1005541X ( 20 11) 010 1204 DOI: 103870 / lc hjissn1005541X20 110104 Etiology and Clinical Characteristic of Upper GastrointestinalHaemorrhage: Analysis of 1 520 Cases XU Qin, HU NaiZhong, CUI Xiaoling Departmen tof Gastroenterology, the irstAffiliated Hospital ofAnhuiM ed icalUniversity, Hefei, 230022, China Abstract:: Objective To investigate the causes and clin ical characteristic of upper gastrointestinal haem orrhage in the last 6 years. M ethods A retrospective review of clin ical records of 1 520 patients referred forUG IB bewt een 2004 ~ 2009. Rusults ( l) The male patien ts w ere m ore than female patien ts, the ratio ofm ale to fem ale patients w as 3. 4 1. The mean age was 52. 8 years( 14~ 102 years). 38 patients died, 52. 6 percent died of hemorrhea, and 47. 4 percen t d ied of other causes. ( 2) The first five causes ofUGIB w ere peptic ulcer, gastroesophageal varices, gastric cancer, M alloryW eiss tear and acute gas tricm ucosal lesion. ( 3) The incidence of old patients had a tendency of increasing( 31. 1% , 31. 9% , 32. 4% , 42. 7% , 38. 1% , 50. 5% ), gastric cancerwas them ost mi portant cause( 21. 6% ), Conclusion Themorb ility of gastroesophageal varices was rising, but acute gastricm ucosal lesion w as descending. The DU patients decreased w ith age, but GU and gastric cancer in creased. The percentage of old patients w as more and more, especially old patients w ith severity com orb id ityw ere high risk of