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我科1977年共收治87例上消化道出血的病例,对其中出血在1,000毫升以上的9例,采用正肾上腺素腹腔内注射,8例获得止血,现报道如下。临床资料9例中男7例,女2例,年龄40~60岁7例。其中十二指肠溃疡5例,胃小弯溃疡1例,肝硬化食管胃底静脉破裂2例,高血压、冠心病并肾功能衰竭所致的上消化道大出血1例。出血量1,100~1,500毫升6例,1,500~2,000毫升2例,4,000毫升以上1例。
87 cases of upper gastrointestinal bleeding were treated in our department in 1977. Nine cases of bleeding above 1,000 ml were treated with intraperitoneal injection of norepinephrine and eight cases of hemostasis as reported below. 9 cases of clinical data in 7 males and 2 females, aged 40 to 60 years in 7 cases. One case of duodenal ulcer in 5 cases, 1 case of gastric ulcer, cirrhosis of esophageal and gastric venous rupture in 2 cases, hypertension, coronary heart disease and renal failure caused by upper gastrointestinal bleeding in 1 case. Bleeding volume 1,100 to 1,500 ml in 6 cases, 1,500 to 2,000 ml in 2 cases, 4,000 ml in 1 case.