A clinical review of the patients with upper gastrointestinal bleed- ing entered to emergency room and factors influencing the outcome. |
Sun Jin Kim, Pyeong Rang Choo, Won Sook Gye, Ho Cheol Shin, Eun Sook Park |
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상부위장관 출혈을 주소로 응급실을 내원한 환자의 임상상과 그 예후에 영향을 미치는 요소에 관한 고찰 |
박은숙, 신호철, 김선진, 추평랑, 계원숙 |
가톨릭의과대학 가정의학과 |
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Abstract |
This is a report of a study of 39 cases with upper gastrointestinal bleeding entered to emergency room in St. Vincent Hospital for 1 year from June 1988 to May 1989. The following resulst were obtained. 1. The male-female ratio was 3:1 2. The age incidence revealed a greater prevalance on 5th to 6th decade(64.2%) : 5th decade in 14 cases(36.0%), 6th decade 11 cases(28.2%) 3. The causative desease was gastric ulcer in 19 cases(48.7%), esophageal varix in 16 cases(41.0%), Mallory-Weiss syndrome in 2 cases(5.1%), stomach cancer in 1 case(2.6%) and duodenal ulcer in 1 case(2.6%) The mortality rate was increased relatively in the esophageal varix. 4. There was ascites in 13 cases(33.3%). The increased mortality rate was related to a presence of a ascites. 5. The frequencies of previous bleeding were : no previous bleeding history in 22 cases(56.4%), one previous bleeding history in 11 cases(28.2%) and two and more previous bleeding history in 6 cases(15.4%). Increased mortility rate was related to frequency of upper gastrointestinal bleeding. 6. A combined disease was found in 13 cases(33.3%). The increased mortality rate was related to the presence of a combined disease. 7. On admission, hematemesis combined with melena was most frequently observed in 25 cases(64.1%) moderate and massive bleeding 9 cases(23.1%) and mild bleeding 30 cases(76.9%). The mortality rate increased associated with the amount of blood loss. |
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