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RISS 인기검색어
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- 저자 : 송문철(Moon Chun Song) (검색결과 1 건)
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상부위장관출혈환자 ( 上部胃腸管出血患者) 157예에 대한 임상적 (臨床的) 관찰
진해웅(Hae Ung Sheen),도사금(Sa Geum Doh),박태중(Tae Jung Park),송문철(Moon Chun Song),배성조(Sung Joe Bae),이상문(Sang Moon Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A From July 1982 to June 1984, clinical observations were made at the Daegu Fatima Hospital on 157 patients with upper gastrointestinal bleeding confirmed by gastrofiberscopy, and the following results were obtained. 1) Of 157 cases of upper gastrointestinal bleeding, esophageal varices was presentented in 28.7% gastric ulcer in 24.2%duodenal ulcer in 19.1%, gastritis in 16.6%, Mallory-Weiss syndrome in 4.5%, stomach cancer in 3.8% and unknown origin in 3.2%. The ratio of males to females in the group of 157 patients was 4.6: 1. Mean age was 48.8+-14.2 whole. Mean age in duodenal ulcer and Mallory-weiss syndrome were significantly lower than that of other disease group(p<0. 01). 2) Active bleeding, that is, oozing or pumping blood, was observed in 53 out of 157(33.8% Active bleeding was most frequently observed with Mallory-Weiss syndrome and esophageal varices. 3) Among the 157 patients who were endoscoped, within 24 hours 51.0% Of patients were endoscoped; within 48 hours 70.7%; and within 7 hours 84.1% The admission-to-endoscopy interval appeared to be correlated with bleeding activity. The frequency of finding an active bleeding lesions was observed to decrease gradually as this interval increased. 4) Mean hemoglobin level on admission was in 8. 5 gm/dl that was belonged to moderate bleeding group by Palumbos criteria. 5) In patients with an actively bleeding lesion at endoscopy there was a statistically significant increase administration of more than 5 pints of blood(52.8%) and surgical intervention(34.0%), when compared to the outcome in patients with only a clot or no blood observed on lesions at endoscopy(more than 5 pints transfused 27.9% and surgery 12.5% (p<0.01, and p<0.005). 6) Eighty-two percents of patients were improved with conservative treatment, whereas gg pJ of patients required surgical intervention. 77.4% of the operated cases were improved. 7) The mortality rate during the hospitalization was in 3.8%, and causes of death were due to hepatic encephalopathy, renal failure, and blood loss.
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