论文部分内容阅读
急性上消化道出血是内外科常见的危重症,病情凶险,病死率较高。上消化道出血,系指十二指肠空肠曲以上部位出血;包括食管、胃、十二指肠及胰胆病变所致的出血在内。以消化性溃疡居首位,其次为食管静脉曲张破裂出血,再次为胃炎及胃癌;较少见的病因尚有食管裂孔疝、出血性食管炎、食管一贲门连结处粘膜撕裂、出血性十二指肠炎、胰腺癌、总胆管及胆囊、血液病等。许多出血性胃炎、应激性溃疡多与服用阿斯匹林、消炎痛、保泰松、辛可芬、利血平及5-氟尿嘧啶等药物有关。
Acute upper gastrointestinal bleeding is a common critically ill surgery, illness dangerous, high mortality. Upper gastrointestinal bleeding, refers to the bleeding above the duodenum jejunum; Including esophageal, stomach, duodenal and pancreatic duodenal lesions caused by bleeding. Peptic ulcer ranks first, followed by esophageal variceal bleeding, gastritis and gastric cancer again; less common cause of esophageal hiatal hernia, hemorrhagic esophagitis, esophageal cardia junction mucosal tear, hemorrhagic ten Duodenitis, pancreatic cancer, the common bile duct and gallbladder, blood diseases. Many bleeding gastritis, stress ulcers and taking aspirin, indomethacin, phenylbutazone, simvastatin, reserpine and 5-fluorouracil and other drugs related.