消化性溃疡出血急诊内镜检查220例分析

１９９０年１月～１９９５年２月．对２２０例消化性溃疡出血病人进行了急诊内镜检查。急诊内镜检查在 ２４～４８ ｈ内完成。内镜所见的出血类型参照Ｆｏｒｒｅｓｔ所建议的分类标准，其中ＦⅠａ４例（１．８％）．ＦⅠｂ２８例（１２．７％），ＦⅡａ２８例（１２．７％）．ＦⅡｂ１２０例（５４．５％）和ＦⅢ ４０例（１８．２％）。结果显示，球部溃疡出血明显多于胃溃疡（６１８％比２９．１％， Ｐ ＜０． ００５）；出血发生率与年龄有明显关系，以中年组发生率最高，占６０％．依次为青年组（２９．１％），老年组（１０．９％）。出血征象ＦⅠａ以老年组居多．其他各型均以中年组占多数。

Emergency endoscopy in peptic ulcer bleeding of 220 cases

From January 1990 to February 1995,emergency endoscopy were performed in 220 patients with peptic ulcer bleeding. All patients with hematemesis and (or ) melena were referred. Emergency endoscopy was carried out within 24 to 48 hours of admission to the hospital. The active bleeding seen at endoscopy was classified in accordance with the endoscopic criteria proposed by Forrest. 220 patients were classified as I a 4 (1. 85% ), I b 28 (12. 7% ), a 28 (12. 7% ). a 28 (12. 7 % ), b 120 (54. 5 % ) and 40 (18. 2 % ) .respectively. The results showed that patients with bleeding doudenalulcers were more of ten than those with bleeding gastric ulcers (61. 8% vs 29. 1%) (P <0. 005 ). The incidence of bleedding peptic ulcer in associated with age. The bleeding rates were 60 / (132/220 ) in the young group (aged 30 or over ), 29. 1 % (64/220 ) in the younger group and 10. 9% 24/220) in the older group (aged 60 or over) (P <0. 0005 ).