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1995年8月～1996年12月,我院应用洛赛克加思密达联合治疗上消化道出血30例,疗效满意,报道如下。 1材料与方法 1.1病例选择 所有病例均为1995年8月至1996年12月住院患者,共60例。其中男性41例,女性19例;年龄19～78岁,平均年龄45.9岁;其中60岁以上4例,占6.7％。病程4小时～13年,均因呕血和（或）黑便入院,经胃镜检查确诊为胃溃疡13例,十二指肠球部溃疡25例,食管溃疡2例,食管静脉曲张破裂出血6例,胃、十二指肠息肉2例,急性胃粘膜病变12例。 1.2出血量判断标准 出血量>1000ml,血红蛋白<70g/L,心率>100次/分为大量出血;出血量500～1000ml,血红蛋白70～90g/L,心率90～100次/分,为中量出血。本组病例大量出血23例,中量出血37例。
From August 1995 to December 1996, 30 cases of upper gastrointestinal bleeding were treated with Losec g plus Smecta in our hospital. The curative effect was satisfactory. The report is as follows. 1 Materials and Methods 1.1 Case Selection All cases were hospitalized from August 1995 to December 1996, a total of 60 cases. There were 41 males and 19 females, ranging in age from 19 to 78 years, with an average age of 45.9 years. Of these, 4 were over the age of 60, accounting for 6.7%. Course of 4 hours to 13 years, were due to hematemesis and (or) melena admission, confirmed by gastroscopy in 13 cases of gastric ulcer, duodenal ulcer in 25 cases, 2 cases of esophageal ulcer, esophageal variceal bleeding in 6 cases , Stomach, duodenal polyps in 2 cases, acute gastric mucosal lesions in 12 cases. 1.2 determine the standard bleeding amount of bleeding> 1000ml, hemoglobin <70g / L, heart rate> 100 times / divided into massive bleeding; bleeding 500 ~ 1000ml, hemoglobin 70 ~ 90g / L, heart rate 90 ~ 100 beats / Bleeding. The group of patients with massive hemorrhage in 23 cases, 37 cases of moderate bleeding.