粤西北地区上消化道出血的病因及相关因素分析

Analysis of pathogenesis and effecting factors of upper gastrointestinal bleeding

目的 探讨近 5年来粤西北地区上消化道出血 (UGB)的病因及相关因素。方法 将近 5年来2 6 4例上消化道出血住院病人的性别、年龄、发病季节、诱因、出血方式、出血病因进行对比。结果 本地区上消化道出血的首位病因为消化性溃疡 ,其次为急性胃粘膜病变 ,性别、年龄、季节等均为UGB相关因素。结论 上消化道出血病人应建议行内镜检查确诊 ,以指导治疗。如能重视卫生宣教工作 ,可降低UGB发病率。

Objective To explore the pathogenesis and effecting factors of upper gastrointestinal bleeding(UGB).Methods 264 patients with UGB in northwest of Guangdong during the last 5 years were analyzed retrospectively.Results The factors closely linked to UGB included peptic ulcer,then acute gastric mucosa,sexuality,age and season.Conclusion All patients should be examined with endoscopy in diagnosis.Health education can reduce UGB.