274 cases of upper gastrointestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 6 274 cases of upper gastrointestinal bleeding [Keywords:] with upper gastrointestinal bleeding; peptic ulcer; esophageal variceal bleeding 1 Clinical data 1.1 Object Data in July 2004 -2008 Division I in November hospitalized patients with 274 cases of upper gastrointestinal bleeding, have vomiting, and (or) black stools, clear as upper gastrointestinal bleeding, except for stress ulcer. Etiological diagnosis based on endoscopy, barium meal examination, surgical exploration and clinical performance identified. 191 cases were male, 83 female; age from 14 to 86 years, 30 young people under the age of 30 cases (11.0%), 31 ~ 50 years old middle-aged group 105 cases (38.3%), 51 to 60 years as middle-aged group of 49 patients (17.8%) aged above 60 years of age group 90 cases (32.8%). 1.2 Seasonal incidence of 68 cases of 24.8% in spring, summer, 83 cases of 30%, 26.6% fall of 73 cases, 50 cases of 18.2% in winter, the group most in summer, least in winter. 1.3 The incentive for drug-induced bleeding were 97 cases (35.4%) were the first, followed by alcohol 53 (19.3%), tiredness caused 30 cases (10.9%), third place, improper diet in 24 patients (8.8%) infection in 11 patients (4%), 60 patients had no incentive (21.8%). 1.4 Distribution of 274 cases the cause of upper gastrointestinal bleeding in patients with peptic ulcer (PU) 78 patients (28.5%) occupied the first of which duodenal ulcer (DU) 52 cases (19%), gastric ulcer (GU ) 26 cases (9.5%), followed by esophageal variceal bleeding (EVB) 64 example (23.4%), the third is acute gastric mucosal lesion (AGML) 57 cases (20.8%), gastric cancer 23 cases (8.4%) accounting for fourth place, 17 patients with chronic gastritis (6.6%) accounted for fifth place, the other 18 cases were of unknown cause (4.2%), duodenal inflammation in 6 patients (2.1%), gastrolith disease in 3 cases of esophageal inflammation, 2 cases of gastric smooth muscle tumor in 2 cases, residual gastritis, esophag