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目的:探讨急性胃黏膜病变的诊治情况,提高基层医院对该病的认识。方法:回顾性分析2004～2006年我院158例急性胃黏膜病变住院病人的临床资料。结果:急性胃黏膜病变约占同期上消化道出血住院病人的21.2%,致病因素依次为药物、严重的内、外科疾病及其他。诊断的手段主要是急诊胃镜检查,去除诱因,积极处理原发病,降低胃内酸度是治疗的基础。结论:急性胃黏膜病变主要病因为应用损害胃黏膜的药物及严重内、外科疾病所致的应激性黏膜损害所致。应用质子泵抑制剂、生长抑素等药品治疗有效。
Objective: To investigate the diagnosis and treatment of acute gastric mucosal lesions and improve the understanding of the disease in primary hospitals. Methods: The clinical data of 158 hospitalized patients with acute gastric mucosal lesions in our hospital from 2004 to 2006 were analyzed retrospectively. Results: Acute gastric mucosal lesions accounted for about 21.2% of hospitalized patients with upper gastrointestinal bleeding in the same period. The pathogenic factors were drug, serious internal and surgical diseases and others. The main means of diagnosis is emergency endoscopy, removal of incentives to actively deal with the primary disease, reduce gastric acidity is the basis for treatment. Conclusion: The main cause of acute gastric mucosal lesions is the application of drugs that damage gastric mucosa and stress mucosal damage caused by severe internal and surgical diseases. Application of proton pump inhibitors, somatostatin and other drugs to treat effectively.