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主动脉瓣狭窄与胃肠道出血。612例患者的调查。

Aortic stenosis associated with gastrointestinal bleeding. A survey of 612 patients.

作者信息

Shoenfeld Y, Eldar M, Bedazovsky B, Levy M J, Pinkhas J

出版信息

Am Heart J. 1980 Aug;100(2):179-82. doi: 10.1016/0002-8703(80)90113-1.

Abstract

A retrospective study was done in order to examine the association between aortic stenosis (AS) and gastrointestinal tract (GIT) bleeding. Four groups of patients included a group of 152 patients with AS, a control group of 152 patients with MS, and another two groups of 154 patients each with and without GIT bleeding. GIT bleeding of known and of idiopathic sources was significantly more prevalent among patients with AS (three and four patients, respectively) than among those with MS (none). Moreover, AS was significantly more prevalent in association with idiopathic GIT bleeding (seven out of 24, 29.1%), in comparison to its association with bleeding from a known source (two out of 130, 1.5%), and its incidence in routinely admitted patients without GIT bleeding (three out of 154, 1.9%). This study supports the assumption that GIT bleeding may be associated with AS.

摘要

为了研究主动脉瓣狭窄(AS)与胃肠道(GIT)出血之间的关联,开展了一项回顾性研究。四组患者包括一组152例AS患者、一组152例二尖瓣狭窄(MS)患者作为对照组,以及另外两组各154例有和无GIT出血的患者。已知来源和特发性来源的GIT出血在AS患者(分别为3例和4例)中比MS患者(无)更为普遍。此外,与已知来源出血(130例中有2例,1.5%)及无GIT出血的常规入院患者(154例中有3例,1.9%)相比,AS与特发性GIT出血(24例中有7例,29.1%)的关联更为普遍。本研究支持GIT出血可能与AS相关的假设。

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