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상부위장관출혈에 (上部胃腸管出血) 관한 임상적 (臨床的) 고찰
임현묵,박인태,김상준,장선택 ( Hyun Muck Lim,Intae Bahk,Sang Jhoon Kim,Sun Tack Chang ) 대한소화기학회 1974 대한소화기학회지 Vol.6 No.1
celes of upper gastrointestinal tiact bleeding have been obs-rved from Jur.e l9(jH to June I!)g,''', The authors have reviewed and discussed a number of facr.ors including the age, sex, i3istri- bulion of diseases, hematemesis, episocles of bleeding, severity of bleeding, duration of blec.ding, cq> r, tive procedures, medical treatment. Pcstoperative complications and mortality. Si<:nificant conculsions drawn from this s'.udy were as follows; I, T'he hleeding of upper gastrointesti.,al tract may be s en in any age group, but it affev.ts more olt<-: iifth decade; incidence of 22. 8 p. rcnt. Thiere was a predominance of mele patient in 3, ; times than female patient. There was diagncstic distril>ut.on of upper gastrointest!nal bleeding as follows; duodenal ulcev: gastric ulcer; Z2. 8%, gsstric cancer; 2J. 8 y, esophageal varices, 17. L,o, gastritis; 11 3i,, Cui!irig ulcer; l,y, and unknovvn oriy,in: -! 5, The most of cases was first ettacl:. Of upper gas'.rointestinal tract bleeding prior to admission. Severity of upper gastrointestinal tr;! T b!eeding were tabulated as follows; Massive bleeding moderate bleeding 28. C>I and mild hleeding 2y g. In the peptic ulcer and gastri(is, subo..t gastrectomy with vagotomy seemed to be signific,intly better than other procedures advo;ate. Predominating postoperative complications svere pulmonary disease, rebleeding and wound inf::.-tion in order of decreasing fiequen.-y. The over all mortality in this obs=rvat!ons was 2. 8:, that is 3 cleaths in 105 cases. The mniality rates were high in esc>phage:il v,rices.
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