中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
10期
41-42
,共2页
无痛性溃疡%上消化道出血
無痛性潰瘍%上消化道齣血
무통성궤양%상소화도출혈
Painless ulcer%Upper gastrointestinal bleeding
目的 探讨无痛性溃疡合并上消化道出血的规律性.方法 由专人操作,采用日本产Olympus GIF-K2型纤维胃镜,对86例无痛性溃疡合并上消化道出血的患者进行系统的观察,作为观察组;另选择同期就诊的有痛性溃疡40例作为对照组.必要时钳取黏膜组织2～6块,用10％的甲醛固定,石蜡包埋HE染色镜检;对部分患者进行6个月的随访.结果 观察组86例中球部溃疡65例,胃溃疡15例,幽门管溃疡3例,复合性溃疡3例;对照组40例中球部溃疡34例,胃溃疡2例,幽门管溃疡2例,复合性溃疡2例;除26例球部溃疡未取材外,余均由病理证实;两组比较差异无统计学意义(χ2 =3.16,P＞0.05),但观察组失血量明显高于对照组(χ2=10.16,P＜0.01).结论 无痛性溃疡合并上消化道出血的患者占同期溃疡病334例患者的25.75％,临床上十分常见.应强调早期胃镜检查、局部止血、内科治疗的重要性.
目的 探討無痛性潰瘍閤併上消化道齣血的規律性.方法 由專人操作,採用日本產Olympus GIF-K2型纖維胃鏡,對86例無痛性潰瘍閤併上消化道齣血的患者進行繫統的觀察,作為觀察組;另選擇同期就診的有痛性潰瘍40例作為對照組.必要時鉗取黏膜組織2～6塊,用10％的甲醛固定,石蠟包埋HE染色鏡檢;對部分患者進行6箇月的隨訪.結果 觀察組86例中毬部潰瘍65例,胃潰瘍15例,幽門管潰瘍3例,複閤性潰瘍3例;對照組40例中毬部潰瘍34例,胃潰瘍2例,幽門管潰瘍2例,複閤性潰瘍2例;除26例毬部潰瘍未取材外,餘均由病理證實;兩組比較差異無統計學意義(χ2 =3.16,P＞0.05),但觀察組失血量明顯高于對照組(χ2=10.16,P＜0.01).結論 無痛性潰瘍閤併上消化道齣血的患者佔同期潰瘍病334例患者的25.75％,臨床上十分常見.應彊調早期胃鏡檢查、跼部止血、內科治療的重要性.
목적 탐토무통성궤양합병상소화도출혈적규률성.방법 유전인조작,채용일본산Olympus GIF-K2형섬유위경,대86례무통성궤양합병상소화도출혈적환자진행계통적관찰,작위관찰조;령선택동기취진적유통성궤양40례작위대조조.필요시겸취점막조직2～6괴,용10％적갑철고정,석사포매HE염색경검;대부분환자진행6개월적수방.결과 관찰조86례중구부궤양65례,위궤양15례,유문관궤양3례,복합성궤양3례;대조조40례중구부궤양34례,위궤양2례,유문관궤양2례,복합성궤양2례;제26례구부궤양미취재외,여균유병리증실;량조비교차이무통계학의의(χ2 =3.16,P＞0.05),단관찰조실혈량명현고우대조조(χ2=10.16,P＜0.01).결론 무통성궤양합병상소화도출혈적환자점동기궤양병334례환자적25.75％,림상상십분상견.응강조조기위경검사、국부지혈、내과치료적중요성.
Objective To investigate the regularity of painless ulcer combined with upper gastrointestinal bleeding.Methods Method used by certified operations,86 cases of painless ulcer combined with upper gastrointestinal bleeding were observed systemicly by Japan Olympus CIF-K2 type fiber endoscopy as observation group ; Forty cases of pain ulcer were choosed as control group,if necessary,Protractor mucosa 2 -6 blocks,with 10％ formalin fixed paraffin embedded,HE dyed microscopic examination;Some cases were followed-up in six months.Results Among the 86 cases in observation group,there were 65 cases of bulb ulcer,15 cases of gastric ulcer,3 cases of pyloric canal ulcer,3 cases of complex ulcer.Among the 40 patients in control group,there were 34 cases of bulb ulcer,2 cases of gastric ulcer ulcer,2 cases of pyloric canal,2 cases of complex ulcer; Twenty-six cases of ulcer was not taken,the others were confirmed by pathology; There was no significant difference between the two groups (χ2 =3.16,P ＞ 0.05 ) ; But bleeding volume in the observation group was significantly higher than that in the control group(χ2 =10.16,P ＜0.01 ).Conclusions Painless ulcer combined with upper gastrointestinal bleeding accounting for 25.75％ of ulcer disease,it is common in clinic.Early gastroscopy,local hemostasis and medical treatment are important.
