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无症状性消化性溃疡并出血的危害临床研究 被引量:1

Clinical Analysis of Asymptomatic Peptic Ulcer Bleeding
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摘要 目的:了解无症状性消化性溃疡并出血病变类型分布,发生率,好发季节,年龄分布及复发等,从而指导临床针对性治疗及预防.方法:收集我院自1999年4月至2004年4月收治因消化性溃疡并出血275例患者,对其中107例无症状患者进行临床分析.结果:无症状性消化性溃疡并出血患者占消化性溃疡并出血患者总数的38.9%,男女比例为2.45:1,以1~2月及12月为高发季节,胃溃疡并出血者占14.9%,年龄>60岁6例,占37.5%.十二指肠球部溃疡并出血占77.5%,年龄>60岁的17例,占20.5%.复合性溃疡占4.6%.吻合口溃疡占5.1%.复发病例24例,占无症状病例22.4%.无症状患者重度贫血所占比率明显高于有症状患者.3例转外科手术治疗.结论:无症状性消化性溃疡常因无症状不能早期治疗,常并发出血,有必要提高高危人群对消化性溃疡的认识,减少不良的生活习惯,早期发现早期治疗出血并发症.加强医务人员对无症状患者医嘱依从性诱导和行为干预,提高治疗依从性,高发季节及溃疡危险因素存在时药物预防可减少复发. Objective: To make out incidence, predilection season, age and recurrence of asymptomatic peptic ulcer bleeding for guiding treatment and precaution. ulcer bleeding from 275 patients with peptic ulcer bleeding Method: 107 patients with asymptomatic peptic were investigated between 1999 - 2004. Results: 38.9% patients with peptic ulcer bleeding had not symptom. January , February and December were predilection season,14.9% patients were gastric ulcer,37.5% were oldster. 77.5% patients were duodenal ulcer,20. 5% were oldster. 4.6% patients were gastroduodenal ulcer,5.1% patients were stoma ulcer,2.4% patients were recurrence ulcer. 3 patients accepted emergency operation. Conclusion: Must be improve the realization of asymptomafic peptic ulcer,early diagnosis and treatment were important for reducing complications of bleeding. Maintenance therapy and precaution can reduce recurrence.
出处 《河北医学》 CAS 2005年第11期1000-1002,共3页 Hebei Medicine
关键词 无症状性消化性溃疡 出血 Asymptomatic peptic ulcer Bleeding
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