上消化道出血伴发缺血性心肌损伤113例临床分析

Clinical Analysis of 113 Caes of Upper Gastrointestinal Bleeding with Ischemic Myocardial Injury

目的探讨上消化道出血(upper gastrointestinal bleeding,UGIB)伴发缺血性心肌损伤(ischemic myocardial injury,IM)I的发病机制、临床表现、相关检查、治疗及预后.方法回顾性分析上消化道出血伴发缺血性心肌损伤113例.结果 113例中66例(58.40%)无典型心肌损伤临床表现,病情好转出院97例(85.84%),死亡16例(14.16%).结论当上消化道出血与缺血性心肌损伤并存时,心肌损伤的表现往往不典型而易被忽视,因此及时发现不典型心肌损伤的相关表现,对于正确处理上消化道出血与心肌损伤具有重要的意义.

Objective To investigate the pathogenesis,clinical manifestations,relevant examinations,treatments and prognosis of ischemic myocardial injury（IMI）with upper gastrointestinal bleeding（UGIB）.Method We restropectively analyzed the clinical data of 113 cases of ischemic myocardial injury（IMI）with upper gastrointestinal bleeding（UGIB）.Results 66 inpatients had no typical performance of myocardial injury（58.40%）,97 inpatients was getting better and discharged from hospital（85.84%）,16 inpatients died（14.16%）.Conclusions The clinical manifestations of patients who have ischemic myocardial injury（IMI） with upper gastrointestinal bleeding（UGIB）are atypical.Under these conditions,IMI is easily overlooked.Therefore,to find revelant manifestations of atypical IMI in time has significance in treating IMI with upper gastrointestinal bleeding（UGIB）.