上消化道出血2 2 4 7例病因及相关因素分析

为探讨上消化道出血的病因分布规律及其与性别，年龄，季节等的关系，回顾性地统计分析了本院1982－1999年2247例上消化道出血患者的内镜检查资料。结果显示：2247例镜检有明确病因者1984例，占88．30％。主要病因依次为消化性溃疡（PU），急性胃粘膜病变（AGML），胃癌（GCa)，食管胃底静脉曲线（EGV）和十二指肠炎（出血糜烂型）。男性均明显多于女性，PU，AGML和十二指肠炎以20－60岁年龄段的中青年人好发，而GCa和EGV以41岁以上的中老年人多。PU和GCa秋冬两季检出率比春夏高，其余病因四季的检出率无明显差异。

REVIEW OF ENDOSCOPIC RESULTS FOR 2 247 CASES OF UPPER GASTROINTESTINAL HEMORRHAGE(UGIH)

To investigate the pathogeny distribution of UGIH and its relationship with sex, age and weather alteration, a retrospective review of endoscopic records of 2 247 cases of UGIH since 1 982 was made. Of 2 247 cases, the pathogeny of 1 984 cases (88.30%) was defined, mainly including PU, AGML, GCa, EGV and dodecactylitis(erosive bleeding)etc. In this series the bleeding of PU, AGML and dodecactylitis occurred more often with middle-aged and young-aged patients 20~60 years old), while GCa and EGV occurred frequently with the middle-aged and old-aged people(>41 years old). It was also found that the detective rate of PU and GCa in autumn and winter was higher than in spring and summer, and the rest of detective rates have no significant difference in the four seasons.