130例急诊室消化道出血患者病因及实验室结果分析

Analysis of etiology and laboratory results of 130 patients with gastrointestinal hemorrhage in emergency room

目的分析急诊室消化道出血患者病因及实验室检查结果。方法收集2018年1月~2019年1月我院急诊室收治的130例诊断为消化道出血患者的临床资料,进行回顾性分析,采用SPSS17.0进行统计学分析。结果130例急性消化道出血患者中,导致上消化道出血的常见病因包括胃溃疡(40.00%)、胃癌(37.50%)等,而导致下消化道出血的常见病因为直肠癌(52.00%)、结肠癌(20.00%)等;上消化道出血患者的血红蛋白、总蛋白、乳酸脱氢酶明显低于下消化道出血患者,肌酐值明显高于下消化道出血患者,差异有统计学意义(P<0.05)。结论加强对急诊室消化道出血患者临床特征的认识,有助于急诊室医生尽快做出诊断及治疗。

Objective To analyze the etiology and laboratory results of patients with gastrointestinal hemorrhage in emergency room. Methods The clinical data of 130 patients diagnosed with gastrointestinal hemorrhage admitted to the emergency room of our hospital from January 2018 to January 2019 were collected and retrospectively analyzed. SPSS17.0 was used for statistical analysis. Results Among the 130 patients with acute gastrointestinal hemorrhage, the common causes of upper gastrointestinal hemorrhage included gastric ulcer(40.00%) and gastric cancer(37.50%). The common cause of lower gastrointestinal hemorrhage was rectal cancer(52.00%) and colon cancer(20.00%), etc. Hemoglobin,total protein, lactate dehydrogenase in patients with upper gastrointestinal hemorrhage were significantly lower than those in lower gastrointestinal hemorrhage, and creatinine value was significantly higher than that in lower gastrointestinal hemorrhage, and the difference was statistically significant( P<0.05). Conclusion Strengthening the understanding of the clinical features of patients with gastrointestinal hemorrhage in the emergency room can help the emergency room doctor to make diagnosis and treatment as soon as possible.