긴급 내시경으로 진단된 상부 위장관 출혈의 임상적 고찰 = Upper GI Bleeding Diagnosed by Emergency Endoscopy

다국어 초록 (Multilingual Abstract)

Department of Internal llafedicine, Kwarrqju CTtristian Hospltul Emergency endoscopy was performed in 315 patients for recent four years
The aouree of upper GI bieeditag in these 315 cases were as follows: Esophageal varx(3), gastric ca(39), Mallory-we;3s syndromei(74), gastric ca(3),- Duodenal ulces(i)lrosive gastritis(14,1, Marginal ulcer(2), Goaabined case(24)k Unknown cases, Essential It was not performed in 4 died case because of poor general conditions. After check up H, Heart, P1use rate, that examination wad performed during drip infusion to he safety of ciralatary system. No compioatian were encountered. To confirm the source of bldeding 8t earlier stogie, was useful to decide which way, that is conservative of surgical therapy 'n which better far the Management.
The results are as follows:
f) The sex incidence of upper GI bleeding showed Male predominance c a ratio 4.6 : 1 and peak ale groups were 4th & 5th' decade.
2) Endoscbpic diagnosis of upper GI Bleeding in the studies case were in the ardeof Esophageal varix bleeding(29), Gastric ulcer(23.5), Mallory weiss eyndrome(12.), Duodenal uler(fi.'o) Erosive gastritis(j1.) We could not find the bleeding site in 3.216 of the studied case.
3) The cause of emergency endoscopy',are Melena(19), Hemateness(22.0) and combi ned(58. 4)
4) Among the 315 uses of upper GI bjleeding, 70.1 of the eases revealed moderate degree of bleeding.
5) Among the 315 cases of upper tr'*I 1',feeding, 28. 1' of the eases were confirmed of nducing factor.
6) Among the 3i5 cases of upper $I bileeding, 69io f the cases received an endascop.ic examinatcan within 72 hr after initial eaisode of bleedag.
7) The discovery rate of lesion was as follows. within 12 hrs, the discovery rate was 67같. From 12 hr, to 24 hr, the rate 48. From, 24 hr to 48 hr, the rate 3996. From 48 hr to 72 hr, the rate 2. 7.
8) The therapy of upper GI bleeding consists ef medical therapy(86,6), surgical therapy (14), the result of therapy shows 85 improvement.