acute clinical analysis of 268 cases of gastric mucosal lesions（急性胃粘膜病变的268例的临床分析）.docVIP

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2017-09-05 发布于浙江
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acute clinical analysis of 268 cases of gastric mucosal lesions（急性胃粘膜病变的268例的临床分析）.doc

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acute clinical analysis of 268 cases of gastric mucosal lesions（急性胃粘膜病变的268例的临床分析）

Acute Clinical Analysis of 268 cases of gastric mucosal lesions Acute gastric mucosal lesions is the body under stress or exposure to certain substances can cause acute gastrointestinal mucosal erosion damage of multiple, often accompanied by bleeding, and even the formation of acute superficial ulcers, healed lesions are usually not left behind in recent years to due to the widespread application of endoscopy, particularly the emergency endoscopy, the incidence rate increasing, upper gastrointestinal bleeding in patients with a endoscopy and found 268 cases of acute gastric mucosal lesions, accounting for 35%, with domestic and international coverage of basic the same. Clinical data 1.1 General information: The group of 268 cases, male 193 cases, female 75 cases, male to female ratio 2.57:1 place, aged 15 to 17 years, mean 40.6 years of age, risk factors: alcohol abuse in 61 cases, taking anti-inflammatory pain in 48 cases, A aspirin in 8 cases, adrenal cortex hormones in 19 cases, trauma in 4 cases, acute cerebral vascular accident in 16 cases, severe infection in 25 cases, eight cases of various causes of shock, fatigue tired in 12 cases, severe visceral dysfunction in 15 cases, unknown cause in 52 cases. 1.2 Clinical manifestations: In addition to the primary disease other than the above performance-based gastrointestinal bleeding such as hematemesis or melena whose bleeding characterized by seizures often show gaps, few prodromal symptoms, and sometimes there may be abdominal pain, bloating, heartburn , such as nausea and vomiting hiccups, hematemesis and melena in this group 157 cases of pure black will be 111 cases, bleeding in the 300 ~ 2500ml or so. 1.3 gastroscopy: bleeding in this group of patients are 24 to 72 hours for gastroscopy. Endoscopic gastric mucosa could see was a wide range of point-like, flake or spot bleeding, the end of congestion, edema, mucosal erosion or some the formation of acute superficial ulceration, were rou