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Qinghai 2194 cases of upper gastrointestinal hemorrhage

Abstract Objective To investigate the cause of upper gastrointestinal bleeding and the law. Methods The subjects were treated 2194 cases of 7 years of upper gastrointestinal bleeding were retrospectively analyzed medical records data. The results lead to upper gastrointestinal bleeding the cause of the top 5 were: peptic ulcer, cirrhosis and esophageal varices, gastric cancer,[link widoczny dla zalogowanych], acute gastric mucosal lesions and esophageal cancer. Incentives to poor diet, alcohol, drugs, and fatigue caused by mental factors were more common. Upper gastrointestinal bleeding in patients with a high incidence of male to female, blood type is O-are the highest proportion. Conclusions for different age groups take appropriate preventive measures to reduce the incidence of acute upper gastrointestinal bleeding. Keywords: upper gastrointestinal bleeding; cause of acute upper gastrointestinal bleeding is a common clinical emergency, one of about 2% of medical patients to 3% [1]. Investigate the cause of acute upper gastrointestinal bleeding and rules to better prevention and treatment of acute upper gastrointestinal bleeding, thereby reducing its incidence. Now admitted to our hospital 7 years, 2194 cases of patients with acute upper gastrointestinal bleeding, according to etiology, age, sex, occupation and blood for clinical data analysis. 1 1.1 Materials and Methods Clinical data of all cases from the altitude of 2275-3780 meters in all areas, both in our hospital in January 2000 ~ December 2006 patients admitted to hospital. 1651 cases were male, female 543 cases, male to female ratio was 3.04:1, age 14 to 93 years, the average age of 51.75 years. Initial presentation were 1,[link widoczny dla zalogowanych],017 cases of black it (46.35%), hematemesis were 443 cases (20.19%), hematemesis and melena the same time there were 734 cases (33.46%). All the cases based on history,[link widoczny dla zalogowanych], signs, combined with blood biochemistry, hepatitis virus markers, blood test, reticulocyte count, fecal occult blood test and other test results, and endoscopy and abdominal ultrasound or CT, etc. B test results confirmed. Within the 48h gastroscopy, abdominal ultrasonography and CT B after in stable condition. 1.2 methods to read, January 2000 ~ December 2006 in our hospital with upper gastrointestinal bleeding admitted to hospital because of all the medical records, incomplete data were excluded, one by one statistical indicators were analyzed retrospectively. 1.3 statistical methods used chi-square (χ2) test. 2 results 2.1 upper gastrointestinal bleeding in men and women in different age composition of Comparison of upper gastrointestinal bleeding in all age groups in the constituent ratio of males was higher than women, p <0> B-type> A-type> AB type. Table 3. 2.4 major cause of the occupational distribution of 2194 cases with upper gastrointestinal bleeding in cases of workers in the 715 cases (35.33%); farmers 629 cases (31.08%); cadres and 490 (24.21%); unemployed were 109 cases (5.39%); Students in 81 cases (4.00%). The highest proportion of workers, followed by farmers, cadres third. Table 4. 2.5 Major Causes of upper gastrointestinal bleeding in 2194 cases of upper gastrointestinal bleeding cases, the main predisposing factors are: poor diet 683 cases, 626 cases of alcohol, drugs (anti-inflammatory drugs) 414 cases, 321 cases of psychological factors , tiredness 127 cases, 23 cases of unknown causes. Table 1, men and women in different age composition of upper gastrointestinal bleeding in different age than the comparison the number of upper gastrointestinal bleeding in men and women constitute more than% proportions% 20 years of age group 392461.541538.46 21 - 30-year-old group 16412676.833823.17 31-40 age group 46637079.409620.60 41-50 age group 51438374.5113125.49 51-60 age group 50838575.7912324.21 61-70 age group 25818772.487127.52 71-80 age group 20314973.405426.60 80 years group 422969.051330.95 Table 2 Total 2194165375.3454124.66 cause of upper gastrointestinal bleeding of upper gastrointestinal bleeding sort cause of upper gastrointestinal bleeding in elderly group, the number of middle-aged group sort sort sort of youth group 55143514633621 duodenal ulcer gastric ulcer esophagitis 48711278147 36313711472793 acute complex ulcer 57711347165 154266884404 gastric mucosal lesion Mallory-Weiss 408101710156 remnant stomach ulcers 42167219510 anastomotic esophageal cancer 1971012825147 cirrhosis and esophageal variceal 12059453688 primary liver cancer 35128219212 5407133721972 171196110 Dieulafoy disease of gastric smooth muscle tumors 8312312212 duodenal diverticulitis 7113069 mechanical injury of the esophagus other * 9113312510 60213411 Total 21945031022669 Schedule 2 * Other : stomach stones, 1 case of esophageal hiatal hernia in 2 cases of achalasia in 2 cases, 1 case of duodenal cancer, ampullary cancer, bile duct in 1 case, 1 case of allergic purpura, thrombocytopenic purpura in 1. Table 3 Relationship between etiology and blood cause of upper gastrointestinal bleeding-A Type B Type AB Type O Total 7310952317551 duodenal ulcer, gastric ulcer 111362757 819327162363 compound 40442545154 acute gastric mucosal lesion Mallory-Weiss 99111140 remnant stomach ulcer 91212042 anastomotic esophageal cancer 101362139197 32293128120