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我院自1996年4月～1998年4月共收治由内镜证实为急性胃粘膜出血患者42例,男34例,女8例,年龄20～74岁,平均49.9岁。有胃病史8例,肝硬化病史4例。发病时间:4小时～2个月。诱因:服用阿斯匹林10例,炎痛喜康6例,安乃近4例,去痛片5例,感冒通2例,平喘药1例,强的松2例,饮酒4例。主要临床表现:上腹不适30例,上腹痛18例,吐酸水、烧心8例,恶心32例,呕血30例,失血性休克4例。4例饮酒引起的上消化道出血血色素正常,其余均有贫血。黑便40例。化验及检查:药物引起的上消化道出血血色素2.5～10.5 g,平均6.4g,饮酒引起的上消化道出血血色素12.5～14.2 g,平均12.7g。胃镜检查除外胃癌及溃疡。表现为糜烂出血胃炎,其中合并胆汁返流性胃炎14例,十二指肠球炎10例,疣状胃炎4例,食管胃底静脉曲张4例,HP(+)18例。治疗与结果:根据病情使用云南白药、止血敏、维生素K_1、甲氰咪胍,重症下胃管用盐水冲洗,并加用洛赛克、善得定等。4例饮酒引起的上消化
Our hospital from April 1996 to April 1998 were treated by endoscopy confirmed acute gastric mucosal bleeding in 42 patients, 34 males and 8 females, aged 20 to 74 years, mean 49.9 years old. There are 8 cases of stomach history, history of liver cirrhosis in 4 cases. Incidence: 4 hours ~ 2 months. Incentives: taking aspirin in 10 cases, inflammatory pain Xikang in 6 cases, analgin in 4 cases, to painkiller tablets in 5 cases, 2 cases of colds, asthma medicine in 1 case, prednisone in 2 cases, drinking in 4 cases. The main clinical manifestations: 30 cases of abdominal discomfort, 18 cases of upper abdominal pain, spit acid water, heartburn in 8 cases, nausea in 32 cases, hematemesis in 30 cases, 4 cases of hemorrhagic shock. 4 cases of alcohol consumption caused by upper gastrointestinal bleeding hemoglobin normal, the rest have anemia. Black will be 40 cases. Laboratory tests and tests: Drug-induced upper gastrointestinal bleeding hemoglobin 2.5 ~ 10.5 g, an average of 6.4g, alcohol-induced upper gastrointestinal bleeding hemoglobin 12.5 ~ 14.2 g, an average of 12.7g. Gastroscopy except gastric cancer and ulcers. The performance of hemorrhagic gastritis erosion, which merged bile reflux gastritis in 14 cases, 10 cases of duodenal inflammation, verrucous gastritis in 4 cases, 4 cases of esophageal varices, HP (+) 18 cases. Treatment and results: Yunnanbaiyao use according to the disease, bleeding sensitivity, vitamin K_1, cimetidine, severe stomach under irrigation with saline, and add Losec, good set and so on. 4 cases of alcohol consumption caused by digestion