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Journal of the Korean Academy of Family Medicine 1991;12(2):20-27.
Published online February 1, 1991.
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
상부위장관 출혈을 주소로 응급실을 내원한 환자의 임상상과 그 예후에 영향을 미치는 요소에 관한 고찰
박은숙, 신호철, 김선진, 추평랑, 계원숙
가톨릭의과대학 가정의학과
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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