急性胃黏膜病变148例临床分析

目的 探讨急性胃黏膜病变的诊治情况,提高对该病的认识。方法 回顾性分析2001-01～2003-12广东揭阳市人民医院148例急性胃黏膜病变住院病人的临床资料。结果 急性胃黏膜病变约占同期上消化道出血住院病人的21.0％,病因依次为药物因素,严重的内、外科疾病及其它。确诊的手段主要是急诊胃镜检查。去除诱因,积极处理原发病,降低胃内酸度是治疗的基础。结论 急性胃黏膜病变主要病因为应用损害胃黏膜的药物及严重的内外科疾病所致,质子泵抑制剂、生长抑素及其类似品治疗有效。

Acute gastric mucosal lesion:clinical analysis of 148 cases

Objective To study the diagnosis and treatment of acute gastric mucosal lesion, and to enhance the under-standing of the disease. Metbods The clinical data of 148 cases of acute gastric mucosal lesion were retrospectively ana-lyzed. Results The percentage of acute gastric mucosal lesion was 21. 0% of upper gastrointestinal hemorrhage duringthe same period; the causes included drug factor, serious medical and surgical diseases and others. The condrming diag-nostic method was to examine by emergency gastroscopy. The therapeutic strategies were cause-oriented while focusingon treating protopathy and reducing the acidity in the stomach. Conclusion The main cause of acute gastric mucosal le-sion is serious medical and surgical diseases or the employed drugs that hurt the gastric mucosa. Medicine such as protonpump inhibitor, somatostatin or simulation is effective in treatment.