消化道出血150例临床分析

目的探讨消化道出血的临床特征及诊治特点。方法对2010年1～12月蚌埠市第三人民医院消化科收治的150例消化道出血患者的临床资料进行回顾性分析。结果 (1)一般资料:男∶女=1.88∶1(98/52),年龄16～99岁,平均年龄(59.25±20.18)岁。老年组患病率明显高于青、中年组(54.0%比20.7%和54.0%比25.3%,P值均为0.000)。(2)服用非甾体类抗炎药(NSAIDs)急性胃黏膜病变发生率(20.7%)明显高于不服用者(3.2%),P=0.002。(3)72.0%(108/150)的患者伴有贫血,以重度为主(P=0.000)(,4)急诊胃镜确诊率(93.1%)明显高于非急诊胃镜确诊率(72.9%),P=0.002;急诊结肠镜与非急诊结肠镜确诊率无统计学意义(25.0%比66.8%,P=0.110)。结论消化道出血以老年患者多见;服用NSAIDs是上消化道出血的重要原因之一;急诊胃镜检查有助于上消化道出血的诊断,急诊结肠镜对下消化道出血诊断意义不明显。

Clinical analysis of 150 patients with gastrointestinal hemorrhage

Objective To investigate clinical features,treatment and prognosis of patients with gastrointestinal bleeding（GIB）.Methods Clinical data of 150 patients with GIB admitted to the department of gastroenterology of Bengbu Third People＇s Hospital from January 2010 to December 2010 were analyzed.Results（1） General data：The ratio of male to female was 1.88：1（98：52）,mean age 16-99（59.25±20.18） years.The percentage of old patients was significantly higher than that of young and middle age（54.0% vs 20.7% and 25.3%,P=0.000）.（2）The incidence of acute gastric mucosal lesion（20.7%）in patients taking non-steroidal anti-inflammatory drugs（NSAIDs） was significantly higher than that in patients without the drugs（3.2%,P=0.002）.（3）72.0%（108/150） of the patients had anemia.（4）More patients who took emergency gastroscopy could be diagnosed than those patients who did not（93.1% vs 72.9%,P=0.002）,while no significant difference could be seen between patients who took emergency enteroscopy and patients who had non-emergency gastroscopy（25.0% vs 66.8%,P=0.110）.Conclusion Most of the patients with GIB are elderly.NSAIDs administration is one of the most important causes of upper GIB.The patients with upper GIB should have gastroscopy as soon as possible,while emergency coloscopy is of little significance in cases with lower gastrointestinal hemorrhage.