| Because the causes of upper gastrointestinal hemorrhage (UGIH)are different, their prognosis and clinical interventions policy are different(such as reported in the literature the recently bleeding again rate of DU is 10% ~ 30%, GU is 25% ~ 48%, EGVB is up 56 % ~ 70%).Correct diagnosis , rapid stopping bleeding are the key of success of the rescue. So the diagnosis of causes is very critical.But the causes of UGIH are complex ,caused by the diseases of digestive system, the adjacent organs near digestive system or systemic diseases. Although the diseases of digestive system are the main cause in the clinical reports ,such as ahout 80 % ~90% of the causes are PU,HG,EGVB,GC, the proportion of the causes reported is various . Taking into account that the cases in emergency are people whose causes are difficult in newly diagnosed ,so their etiological diagnosis is more important. For this situation ,this material is to study retrospectively 82 patients who were in emergency rooms of our hospital from January 2008 to January 2010, to study the constituent ratio of causes of upper gastrointestinal hemorrhage in emergency and the research of related factors,in oder to guid the emergency physicians to have deeper understanding of upper gastrointestinal hemorrhage in emergency, direct them to make faster and more accurate judgments , develop rational clinical intervention to improve prognosis and reduce mortality, benefit for patients with health education to reduce the morbidity and recurrence rate.Objective: In this study,we retrospectively analyze the patients who were in our hospital emergency rooms with upper gastrointestinal hemorrhage, to study the constituent ratio of causes of upper gastrointestinal hemorrhage in emergency and the research of related factors,in oder to guid the emergency physicians to have deeper understanding of upper gastrointestinal hemorrhage in emergency, direct them to make faster and more accurate judgments ,develop rational clinical intervention to improve prognosis and reduce mortality, benefit for patients with health education to reduce the morbidity and recurrence rate.Materials and Methods: 82 hospitalized patients in this study were selected from our hospital emergency rooms with upper gastrointestinal hemorrhage from January 2008 to January 2010. The cases were selected from patients of 17-77 years old,among which 63 are male and 19 are female.The patients were grouped in terms of youth (17-44years)33 cases, middle- aged(45-59years)28 cases and the elderly(60-77years) 21cases.Clinical manifestations were hematemesis and (or)melena, the causes were confirmed by gastroscopy at 24-72h after bleeding. We analyze retrospectively the constituent ratio of causes ,sex, age and the incentives of the 82 patients.Results:1,Data in the 82 cases UGIH patients, respectively, constitute the cause: HG28 cases (34.15%), DU19 cases (23.17%), GU14 cases (17.07%), MWS8 cases (9.76%),EGVB7 cases (8.54%), GC5 cases (6.10%), Dieulafoy disease 1 case (1.22%).2,It is showed that in the significant incentives, alcohol misuse and improper diet are the main incentives,others are severe nausea, vomiting, mental factors, fatigue, stimulant medication.It is also a considerable part which has no significant incentives.3,This set of data in the first two causes of young group: DU accounted for 36.36%, HG accounted for 33.33%; middle-aged group: HG accounted for 35.71%, GU accounted for 28.57%; elderly group: HG accounted for 33.33%, GU accounted for 23.81%. The constitute ratio of three groups has significant differences (P<0.05).4,Data in this group a total of 82 patients were male 63 cases, accounting for 76.83%; 19 female, accounting for 23.17%. The constitute ratio of male and female has no significant differences (P>0.05).Conclusions:1,The main causes of upper gastrointestinal hemorrhage in emergency are HG, GU, DU. Other are MWS, EGVB ,GC, Dieulafoy disease. 2,In the significant incentives, alcohol misuse and improper diet are the main incentives,others are severe nausea, vomiting, mental factors, fatigue, stimulant medication.It is also a considerable part which has no significant incentives.3,In emergency patients with upper gastrointestinal hemorrhage, The constitute ratio of three groups has significant differences (P<0.05).Young group to duodenal ulcer, hemorrhagic gastritis mainly; middle-aged group to the main hemorrhagic gastritis and peptic ulcer; the elderly group hemorrhagic gastritis, gastric ulcer also a higher incidence. Esophagogastric variceal bleeding appears in young, middle-aged group; gastric cancer in the middle-aged and elderly group.4,Incidence of upper gastrointestinal hemorrhage in emergency in male was significantly higher than female. The constitute ratio of male and female has no significant differences (P>0.05). |
PDF Full Text Request