【摘要】 本院在过去的12年内共收治上消化道出血520例,引起出血的最常见疾病是消化性溃疡和门脉高压,其次是胃炎和胃癌.溃疡病的出血多不严重,难以控制的致命性大出血比较少见.肝硬化门静脉高压的出血常是大量的急性出血,病死率高达39.1%,这可能与出血量多及肝功能衰竭等因素有关.最易导致出血的胃炎为急性出血性胃炎和慢性浅表性胃炎.在上消化道肿瘤中恶性较良性的易于发生出血.总之,上消化道出血的原因是多种多样的,只要进行认真的检查,一般都可以作出明确诊断.更多还原

【Abstract】 This paper reports 520 cases hospitalized due to upper gastrointestinal tract hemorrhage during a period of 12 years. The most common causes were: peptic ulcer, portal hypertension, gastritis and stomach cancer. Usually the degree of bleeding in peptic ulcer was mild; massive hemorrhage was more often in portal hypertension, which might be correlated to liver failure in blood coagulation disorder, yielding a fatality of 39.1%. Acute and chronic superficial gastritis might be the cause of bleeding among gastritis. Malignant tumor as an unusual source of hemorrhage was more frequent than its benign counterpart. In general, though the causes of upper gastrointestinal tract hemorrhage are various in type, a careful history and examinations including endoscopic and radiologic studies may give a definite diagnosis.更多还原