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상부위장관출혈환자에 ( 上部胃腸管出血患者) 대한 임상적 (臨床的) 관찰
김학현(hak Hyun Kim),허성욱(seong Wook Hur),이창우(Chang Uoo Lee),안기성(Ki Sung Ahn),배정동(Jung Dong Bae),정극수(Keuk Soo C hung) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A Eighty six cases of upper gastrointestinal bleeding who were admitted in catholic hospital during a period from June 1981 to May 1982 were clinically observed. The results are summarized as follows: 1) The incidence of cases of upper gastrointestinal bleeding was 4 9% of all patients admitted to our medical department. 2) The sources of bleeding were peptic ulcer(45. 3%), hemorrhagic gastritis(18. 6%), eso- phageal varices(15.1%), gastric cancer(9.3%), Mallory-Weiss syndrome(5.8%), hemorrhagic duodenitis(1.2%), gastic polyp(1.2%) and undetermined cause(3.5%) in order of frequency. 3) The ratio of male to female was 2. 6: 1 The age distribution revealed a greater prevalence in fifth decade. 4) Hematemesis was noted in 17 patients (19.8%), melena in 33 patients (38.4%) and combined hematemesis and melena in 36 patients(41.9%). The poss'ible causative agents of upper gastrointestinal bleeding included alcohol, and analgesics(salicylates), and steroid in this order. Massive bleeding group by Hamiltons criteria was 61 patients(70 9%) 7) Seventy seven patients(89.5%) were treated medically and 9 patients(10.5%) received operation. The over-all mortality rate was 4.7% and all of them were cases treated medrcally, Main causes of death were due to hepatic failure(3 cases) and renal shut down related to sustained bleeding(l case).
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