Correia J P, Cruz A G, Batista M R, Grima N, Carvalhinhos A, Cardoso A, Areias E, Camilo E A, Galvão H S, Fernandes J P, Alexandrino P, Peixe G R, Sanguino J A, Silveira J
Arq Gastroenterol. 1979 Jul-Sep;16(3):119-23.
From 388 patients with upper G.I. bleeding investigated by endoscopy, radiology or emergent surgery, one third bled from duodenal ulcer, one third oesophageal varices, and from the remain the most frequent were gastric ulcer (14%) and gastric cancer (9%). From a sample of 53 patients with liver cirrhosis, 66% bled from varices and 34% from other lesions. The proportion of patients who bled from oesophageal varices is higher under 60 yrs. The mortality was higher after 60 yrs, except when there was associated chronic liver disease or renal or cardio-respiratory failure. In this group of patients, near half in our series, the mortality is the same under and above 60 years.
在388例接受内镜检查、放射学检查或急诊手术的上消化道出血患者中，三分之一的出血源于十二指肠溃疡，三分之一源于食管静脉曲张，其余患者中最常见的是胃溃疡（14%）和胃癌（9%）。在53例肝硬化患者样本中，66%的出血源于静脉曲张，34%源于其他病变。60岁以下患者中因食管静脉曲张出血的比例更高。60岁以后死亡率更高，除非伴有慢性肝病、肾或心肺功能衰竭。在我们的系列研究中，这组患者接近半数，60岁以下和60岁以上的死亡率相同。
