Young G P, Thomas R J, Wall A J
Med J Aust. 1976 Sep 25;2(13):488-9. doi: 10.5694/j.1326-5377.1976.tb130357.x.
Three cases of haematemesis associated with alcohol abuse are described. Early fibreoptic endoscopical examination in each showed a focal, well demarcated area of gastric mucosal haemorrhage, close to the oesophagogastric junction. Two patients showed prolapse of the lesion into the lower part of the oesophagus, and the third had coexistent Mallory-Weiss tears. Our observations suggest that forceful vomiting is responsible for this lesion, by causing abrupt retrograde gastrooesophageal prolapse. The prognosis of the lesion appears good.
本文描述了3例与酒精滥用相关的呕血病例。每例患者早期进行的纤维内镜检查均显示，在靠近食管胃交界处有一个局灶性、边界清晰的胃黏膜出血区域。2例患者病变脱垂至食管下段，第3例同时存在马洛里-魏斯撕裂伤。我们的观察结果表明，剧烈呕吐导致胃食管突然逆行脱垂，从而引发了这种病变。该病变的预后似乎良好。
