208例上消化道出血患者的病因分析及胃镜诊断体会

Analysis of etiology and endoscopic diagnosis in 208 cases of upper gastrointestinal bleeding

目的对208例上消化道出血患者的病因进行分析,探讨胃镜的诊断价值。方法回顾性分析我院2010年6月-2012年6月收治的208例上消化道出血患者胃镜诊断结果。结果消化性溃疡是不同年龄组上消化道出血的主要病因,中青年组消化性溃疡出血比率(42.4%)高于老年组(27.7%,P<0.05)。消化道肿瘤在老年组上消化道出血中所占的比例为23.7%,明显高于中青年组的7.6%(P<0.01),是老年人上消化道出血的常见原因。急诊胃镜组病因检出率为97.5%,高于非急诊胃镜组的87.5%(P<0.05)。结论上消化道出血的病因较多,以消化性溃疡最为常见。胃镜对上消化道出血病因诊断有较高价值,可作为首选方法。

Objective To investigate the causes of 208 cases of upper gastrointestinal bleeding and evaluate the value of gastroscopy on the diagnosis.Methods Retrospectively analyzed 208 cases of upper gastrointestinal bleeding received gastroscopy in our hospital from Jun.2010 to Jun.2012.Results Peptic ulcer was a major cause of upper gastrointestinal bleeding in different age groups,the rate of peptic ulcer bleeding in young-middle-aged group（42.4%） was higher than that in elderly group（27.7%,P0.05）.Gastrointestinal tumor was a common cause of upper gastrointestinal bleeding in the elderly,the rate of gastrointestinal tumor bleeding in elderly group（23.7%） was higher than that in the young-middle-aged group（7.6%,P0.01）.The correct diagnosis rate by emergency gastroscopy was 97.5%,higher than that in the non-emergency gastroscopy（87.5%,P0.05）.Conclusion Peptic ulcer is the main cause of upper gastrointestinal bleeding.Emergency gastroscopy can be the primary method on the diagnosis of upper gastrointestinal bleeding.