Joseph R E, Epsten R, Kowlessar O D
J Natl Med Assoc. 1982 Jan;74(1):83-5.
The authors report a case of upper gastrointestinal hemorrhage in a quadriplegic. The cause was a Mallory-Weiss tear, a previously unrecognized problem in these patients. The incidence of bleeding in patients with spinal cord injury is as high as 25 percent in the few reported series. We feel that with the increased risk of gastrointestinal bleeding in the spinal cord patient and the accompanying significant mortality, early endoscopy is essential for accurate diagnosis since clues to the presence, etiology, and severity of the bleeding are often lacking.
作者报告了一例四肢瘫痪患者发生上消化道出血的病例。病因是马洛里-魏斯撕裂，这在这些患者中是一个此前未被认识到的问题。在少数已报道的系列研究中，脊髓损伤患者的出血发生率高达25%。我们认为，鉴于脊髓损伤患者胃肠道出血风险增加以及随之而来的高死亡率，早期内镜检查对于准确诊断至关重要，因为出血的存在、病因和严重程度往往缺乏线索。
