Bubrick M P, Lundeen J W, Onstad G R, Hitchcock C R
Surgery. 1980 Sep;88(3):400-5.
Fifty-nine patients with Mallory-Weiss gastroesophageal lacerations are described. These patients consisted of 6% of all cases of upper gastrointestinal tract hemorrhage we evaluated. The most common symptoms were hematemesis (92%) and retching (61%). A history of chronic alcoholism was present in 69.5%, and recent binge drinking in 52.5% of our patients. Diagnosis was made endoscopically (55 patients) or surgically (four patients). Two deaths occurred in the 51 patients who were managed nonoperatively and two deaths occurred in the eight patients who underwent surgery. None of the deaths was related to delay in operative treatment. Eleven patients had late rebleeding, but in only three of these patients was this due to recurrent Mallory-Weiss lesions. We believe the Mallory-Weiss laceration can now be considered to be a relatively benign condition that can be managed successfully by nonoperative means in the majority of cases.
本文描述了59例患有马洛里-魏斯食管胃撕裂伤的患者。这些患者占我们评估的所有上消化道出血病例的6%。最常见的症状是呕血（92%）和干呕（61%）。69.5%的患者有慢性酒精中毒史，52.5%的患者近期有暴饮史。55例患者通过内镜检查确诊，4例患者通过手术确诊。51例非手术治疗的患者中有2例死亡，8例接受手术的患者中有2例死亡。所有死亡均与手术治疗延迟无关。11例患者出现迟发性再出血，但其中只有3例是由于复发性马洛里-魏斯病变所致。我们认为，马洛里-魏斯撕裂伤现在可被视为一种相对良性的疾病，在大多数情况下可通过非手术方法成功治疗。
