[胃及十二指肠溃疡再出血的发生率及危险因素]

[Incidence and risk factors of rebleeding from gastric and duodenal ulcers].

作者信息

Winiarski Marek, Biesiada Zbigniew, Rembiasz Kazimierz, Bolt Leszek, Guzik Piotr, Zasada Jakub

机构信息

II Katedra Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego, 31-501 Kraków, ul. Kopernika 21.

出版信息

Przegl Lek. 2003;60 Suppl 7:7-12.

PMID:14679685

Abstract

We present the analysis of risk factors of recurrence of bleeding in patients with gastric and duodenal ulcers. The group consisted of 178 patients hospitalized between 1998-2002. Among them there were 76 patients with gastric ulcers and 102 patients with duodenal ulcers. The recurrence of bleeding was observed in 24.3% patients with gastric ulcer and 21.8% of patients with duodenal ulcer. The most important risk factors were: localization of ulcers, intensity of bleeding according to Forrest scale, presence of concomitant diseases, shock on admission and H. pylori infection. 26.3% of patient with gastric ulcer and 36.4% with duodenal ulcer needed emergency operation. The mortality rate among patients with gastric ulcer was 15.6% and with duodenal ulcer 13.6%.

摘要

我们对胃和十二指肠溃疡患者出血复发的危险因素进行了分析。该组由1998年至2002年期间住院的178例患者组成。其中胃溃疡患者76例，十二指肠溃疡患者102例。胃溃疡患者出血复发率为24.3%，十二指肠溃疡患者为21.8%。最重要的危险因素有：溃疡部位、根据福里斯特量表评估的出血强度、合并症的存在、入院时休克以及幽门螺杆菌感染。胃溃疡患者中有26.3%、十二指肠溃疡患者中有36.4%需要急诊手术。胃溃疡患者的死亡率为15.6%，十二指肠溃疡患者为13.6%。