Analysis of causes of non-variceal upper gastrointestinal bleeding of 379 cases and the therapy through the endoscopies

2006 
Objective To analysis the causes of 379 non-variceal upper gastrointestmal bleeding,and thetherapy through the endoscopies.Methods All cases did endoscopies within 24 hours after uppergastrointestmal hernorrtiage.After definite the causes of the bleeding,we study the theiapy of these illnessthrough the endoscopies.Results The chief cause was peptic ulcer in non-variceal upper gastrointestmal bleeding(46.8%),the next one was acute hemorrhagic gastritis(15.9%).Gastric submaconsal vessel lesion,esophagusLesion,upper gastrointestmal cancer was one of the causes of upper gastrointestmal bleeding.At the mean while,we found the early to do the endoscopies,the higher positive to find the causes of non-variceal uppergastrointestmal bleeding.The different therapy of non-variceal upper gastrointestmal bleeding through theendoscopies is very efficient.Conclusions The peptic ulcer is the chief cause in non-variceal uppergastrointestmal bleeding.The upper gastrointestmal bleeding is caused by acute hemorrhagic gastritis,gastricsubrnuscosal vessel lesion,all kinds of accompany pyloristenosis,esophagus lesion may show hematensis heavily.Clinical physical must pay attention to about it.It is necessary to do endoscopies within 24 hours with the cases ofhematemesis.The different treatment should be chosen with the different causes of the non-variceal uppergastrointestmal bleeding.
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