Iglesias M C, Dourdourekas D, Adomavicius J, Villa F, Shobassy N, Steigmann F
Ann Surg. 1979 Jan;189(1):90-5. doi: 10.1097/00000658-197901000-00017.
From July 1, 1973 to June 30, 1976 789 patients admitted as upper gastrointestinal bleeders had endoscopies performed within 24 hours after preliminary resuscitation and preparation. More than one lesion was found in approximately 45% of the patients. Erosive hemorrhagic gastritis was the most common lesion, being present in 27.3--48.2% of the subjects (the latter precentage was found in those with a history of intake of both alcohol and ulcerogenic drugs). Gastric ulcer was the next most common lesion, present in 16.3--18.42%; the higher percentage represents the patients who were taking ulcerogenic drugs. The highest incidence of gastric ulcer (19.59%) or duodenal ulcer (10.5%) was among the patients in a group who had no apparent definite cause for the bleeding. A small number of patients had rare causes for the bleeding and in only a small percentage of the patients was the cause not diagnosed. These data suggest that early endoscopy is of diagnostic value in upper G.I. bleeders leading to prompt, lifesaving management and prevention of prolonged morbidity.
1973年7月1日至1976年6月30日期间，789例因上消化道出血入院的患者在初步复苏和准备后的24小时内接受了内镜检查。约45%的患者发现不止一处病变。糜烂性出血性胃炎是最常见的病变，见于27.3% - 48.2%的患者（后者百分比见于有饮酒和致溃疡药物摄入史的患者）。胃溃疡是其次常见的病变，见于16.3% - 18.42%的患者；较高百分比代表正在服用致溃疡药物的患者。胃溃疡（19.59%）或十二指肠溃疡（10.5%）的发病率最高的是那些出血无明显确切病因的患者组。少数患者有罕见的出血原因，只有一小部分患者的病因未被诊断出来。这些数据表明，早期内镜检查对上消化道出血患者具有诊断价值，可导致及时的、挽救生命的治疗并预防长期发病。
