CAJ | 학술논문

目的：观察分析非老年患者上消化道出血的原因和相关因素。方法：回顾性分析我院消化内科2012年12月-2014年3月收治住院的180例非老年上消化道出血患者的临床资料。结果：经检查，180例非老年上消化道出血患者中消化性溃疡引起者65例，食管胃底静脉曲张引起者47例，消化道肿瘤引起者32例，急性胃黏膜病变引起者20例，其他因素引起者16例；其中男性患者多于女性患者，30-60岁的中年患者多于30岁以下的青年患者。结论：造成上消化道出血的原因复杂，其中消化性溃疡比例最高，食管胃底静脉曲张和消化道肿瘤次之；不同性别和年龄的患者发病原因各不相同，非老年患者里中年男性是上消化道出血的高发人群，应对其重点观察，发现症状需要及时果断干预，以减少其发展成上消化道出血的可能性。
목적：관찰분석비노년환자상소화도출혈적원인화상관인소。방법：회고성분석아원소화내과2012년12월-2014년3월수치주원적180례비노년상소화도출혈환자적림상자료。결과：경검사，180례비노년상소화도출혈환자중소화성궤양인기자65례，식관위저정맥곡장인기자47례，소화도종류인기자32례，급성위점막병변인기자20례，기타인소인기자16례；기중남성환자다우녀성환자，30-60세적중년환자다우30세이하적청년환자。결론：조성상소화도출혈적원인복잡，기중소화성궤양비례최고，식관위저정맥곡장화소화도종류차지；불동성별화년령적환자발병원인각불상동，비노년환자리중년남성시상소화도출혈적고발인군，응대기중점관찰，발현증상수요급시과단간예，이감소기발전성상소화도출혈적가능성。
Objective:To discuss the causes and related factors of un-elderly patients with upper Gastrointestinal Hemorrhage. Method: Study the clinical date of 180 cases of upper Gastrointestinal Hemorrhage, who received the treatment from Dec,2012 to Mar.2013 retrospectively.Results: Among al 180cases of upper Gastrointestinal Hemorrhage,there are 65 cases are caused by peptic ulcer,47 cases are caused by esophageal and gastric varices,32 cases are caused by gastrointestinal tumor,20 cases are caused by acute gastric mucosal lesion and 16 cases are caused by other reasons. Male patients are more than female patients, middle-age patients(30-60y) are more than young patients(≤ 30y).Conclusion: Among al factors which cause the disease, peptic ulcer is the main one, esophageal and gastric varices and gastrointestinal tumor are folowing.Male middle-age patients have higher risk of upper Gastrointestinal Hemorrhage, doctors should put emphasis on them and provide immediate intervention to avoid any possibility of upper gastrointestinal hemorrhage.