急性胃黏膜病变82例临床分析

Clinical analysis of 82 cases of acute gastric mucosal lesion

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2006年1月至2007年12月佛山市顺德区北滘医院82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占同期住院上消化道出血住院病人的23%,病因依次为药物因素,酗酒等严重的内、外科疾病及其它。确诊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,质子泵抑制剂及胃黏膜保持剂有效。

Objective To study the diagnosis and treatment of acute gastric mucosal lesion, and to enhance the understanding of the disease. Mehods The clinical data of 82 cases of acute gastric mucesal lesion were retrospectively analyzed. Results The percentage of acute gastric mueosal lesion accounted for 23% of upper gastrointestinal hemorrhage during the same period, the causes included drug factor, serious medical and surgical diseases and others. The confirming diagnostic method was to examine by emergency gastroscopy. The therapeutic strategies were cause-oriented while focusing on treating protopathy and reducing the acidity in the stomach. Conclusion The main cause of acute gastric mucosal lesion is serious medical and surgical diseases or the employed drugs that hurt the gastric mucosa. Medicine such as proton pump inhibior, sematostatin or simulation is effective in treatment.