Bleich A, Ratan Y
Dept. of Psychiatry, Tel Aviv-Souraski Medical Center.
Harefuah. 1996 Jul;131(1-2):7-9, 72, 71.
The development of gastric and/or duodenal erosive lesions with bleeding is often related to an identified pathogenic factor such as the use of nonsteroidal anti-inflammatory drugs or alcohol. Extreme physiologic stress has also been shown to cause similar erosive lesions, known as "stress ulcer syndrome." We describe a 42-year-old woman, who over the course of a few months had 6 episodes of upper gastrointestinal bleeding due to various gastroduodenal erosive lesions. Prior to all these episodes she reported anxiety and stress of varied origins, but no other pathogenic factor was identified.
胃和/或十二指肠糜烂性病变伴出血的发生通常与已确定的致病因素有关,如使用非甾体类抗炎药或酒精。极端生理应激也已被证明可导致类似的糜烂性病变,即“应激性溃疡综合征”。我们描述了一名42岁女性,在几个月的时间里因各种胃十二指肠糜烂性病变发生了6次上消化道出血。在所有这些发作之前,她报告了多种来源的焦虑和压力,但未发现其他致病因素。