1187例上消化道出血急会诊的病因分析

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Abstract Objective To evaluate the cause of bleeding in emergency consultations with upper gastrointestinal bleeding. Methods A retrospective study of cases of upper gastrointestinal bleeding in the emergency consultation of Department of Gastrointestinal, the First Medical Center, Chinese People′s Liberation of China General Hospital from June 2018 to June 2019, relevant clinical data of patients were collected, and the etiological composition of patients of different genders and ages were analyzed. Results A total of 1187 cases of upper gastrointestinal bleeding in emergency consultation were included in this study, including 752 cases in the male group and 435 cases in the female group; 628 cases in the young and middle-aged group (＜60 years old), and 559 cases in the elderly group (≥60 years old). The common causes were 480 cases of decompensated portal hypertension in liver cirrhosis, 310 cases of non-steroidal anti-inflammatory drug (NSAID) related acute gastric mucosal disease, 177 cases of peptic ulcer, 117 cases of malignant tumor, and 34 cases of vascular malformations, 19 cases of cardiac mucosal tear syndrome, 16 cases of gastric stromal tumor, and 34 cases of unknown cause. The proportion of peptic ulcers in the male group was higher than that in the female group, and the difference was statistically significant (P ＜ 0.05). The proportions of portal hypertension, peptic ulcer, and cardiac mucosal tear syndrome during decompensated liver cirrhosis in the young and middle-aged group were higher than those of the elderly group, while the proportions of NSAID-related acute gastric mucosal lesions and malignant tumors were lower than those of the elderly group, and the differences were highly statistically significant (P ＜ 0.01). Conclusion Age and gender factors can affect the cause of acute upper gastrointestinal bleeding.

Key words： Upper gastrointestinal bleeding Emergency resultants Cause of disease Retrospective study

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	SHEN Lei SUN Gang ZHANG Xiaomei

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SHEN Lei SUN Gang ZHANG Xiaomei. Analysis of the cause of emergency consultation in 1187 cases of upper gastrointestinal bleeding[J]. 中国医药导报, 2020, 17(31): 111-114.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I31/111

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