军人上消化道出血453例病因及诱因分析

目的分析军人上消化道出血病因及诱因,探讨预防军人上消化道出血的措施。方法对1990年10月—2005年9月住院的军人上消化道出血453例进行回顾性分析,统计引起出血的诱发因素及其原发疾病。结果消化性溃疡及胃黏膜糜烂为军人上消化道出血的主要病因,分别占74.0%及16.8%,66.9%有明确诱因,81.9%病例出血前有慢性消化道症状,发病有时间规律性。结论军人上消化道出血多有明确的原发疾病及诱发因素;通过积极治疗原发疾病和减少诱发因素,可有效预防军人上消化道出血的发生。

Analysis of Causes and Inductive Factors on 453 Soldiers with Upper Gastrointestinal Hemorrhage

Objective To analyze the causes and the inductive factors of upper gastrointestinal hemorrhage (UGH) in soldiers and explore the preventive measures for UGH. Methods A total of 453 soldiers with UGH were enrolled in the study from the patients admitted to PLA 97th Hospital between October, 1990 and September, 2005. All their clinical data were analyzed retrospectively.Results The major causes of UGH in the soldiers were digestive ulcer (74.0%) and gastric erosions (16.8%). Definite inductive factors were found in 66.9% of the patients. Furthermore, 81.9% of the patients experienced chronic digestive malaises before the attack of UGH.Conclusion In most of soldiers with UGH, primary diseases and definite inductive factors can be found. Therefore, it might be helpful to the prevention of UGH for doctors to treat them positively.