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目的探讨少见病因导致的上消化道出血,提高对相关疾病的认识。方法回顾性分析2001-01-2003-12武汉大学人民医院35例上消化道出血住院病人的临床资料。结果上消化道出血中少见病因以Dieulafoy病(22.9%)、十二指肠憩室(17.1%)、食管炎(14.3%)、胃切除术后吻合口炎(11.4%)、十二指肠炎(8.3%)多见;Dieulafoy病和Mallory-Weiss综合征主要表现呕血;抗酸治疗和内镜止血效果好。结论少见病因上消化道出血各有特点;治疗须注意内镜治疗和抗酸治疗。
Objective To investigate the upper gastrointestinal bleeding caused by rare etiology and to raise awareness of the related diseases. Methods The clinical data of 35 inpatients with upper gastrointestinal bleeding in Wuhan People’s Hospital from January 2001 to December 2003 were retrospectively analyzed. Results The rare causes of upper gastrointestinal bleeding were Dieulafoy’s disease (22.9%), duodenal diverticulum (17.1%), esophagitis (14.3%), anastomotic stomata after gastrectomy (11.4%), 8.3%) more common; Dieulafoy disease and Mallory-Weiss syndrome mainly vomiting blood; antacid therapy and endoscopic hemostatic effect. Conclusions The causes of rare upper gastrointestinal bleeding have their own characteristics; treatment should pay attention to endoscopic treatment and acid-fastness treatment.