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消化道出血
    The common clinical manifestations were GI hemorrhage (58.8% ), abdominal pain (65.9%), weight loss (52.9%), jaundice (32.4% ) , abdominal mass (23.6% ) and intestinal obstruction (11.8 % ).
    常见的临床表现依次为消化道出血(58.8%,粪隐血阳性或黑便居多)、腹痛(55.9%)、体重下降(52.9%)、黄疸(32.4%)、腹块(23.6%)和肠梗阻(11.8%)。
    Conclusions The risk scoring system is applicable to predict early risk of rebleeding and mortality as well as guide clinical treatment in the elderly patients with upper GI hemorrhage.
    结论 对老年急性上消化道出血患者采用此积分系统 ,有利于临床早期预测出血后危险性 ,以期指导临床治疗。
    The common presenting symptoms and signs were abdominal pain (68%), jaudice (60%), GI hemorrhage (47%), vomitting (45%), and weight loss (32%). In addition, except for those with peripapilla tumors, patients were more likely to present with vomitting and bleeding, those with leiomyosarcomas commonly presented with abdominal mass.
    常见临床表现依次为上腹疼痛 (6 8% ) ,黄疸 (6 0 % ) ,消化道出血 (47% ) ,呕吐(45 % ) ,体重减轻 (32 % ) ,乳头区以外肿瘤常有呕吐、消化道出血 ,平滑肌肉瘤多有腹块。
    The common clinical manifestations were abdominal pain (53.68%), anemia (48.78%), jaundice (46.36%), GI hemorrhage (29.27%), weight loss (24.39%).
    升段 1例。 常见临床症状依次为上腹痛 5 3.6 8% ,贫血4 8.78% ,黄疸 4 6 .34% ,上消化道出血 2 9.2 7% ,消瘦 2 4 .39%。
    Results:Tumors mostly located in the descending portion of the duodenum(61/84). Adenocarcinoma predominates among primary malignant duodenal tumors(72/84). The symptoms of biliary obstruction were caused mostly by tumors around peripapillary region,while GI hemorrhage and intestinal obstruction were caused mainly by tumors in other regions.
    结果 :肿瘤主要分布于十二指肠第二段 (6 1/ 84 ) ,病理类型以腺癌为主 (72 / 84 ) ,位于乳头附近的肿瘤常引起胆道梗阻 ,其他部位的肿瘤主要表现为高位肠梗阻或消化道出血
    Results On univariate analysis,age,GCS,pupillary asymmetry,mean BP,serum glucose,intraventricular hemorrhage(IVH),hematoma with a size,mass effect,hydrocephalus,prothrombin time and hematoma evacuation significantly correlated with GI hemorrhage.
    结果单因素分析中:年龄,GCS评分,瞳孔不等,平均动脉压,血糖,脑室出血,血肿大小,占位效应,脑积水,凝血酶时间,开颅血肿清除术与消化道出血相关。
    Conclusion Low GCS,larger hematoma,IVH and operation wound are the important predictors for GI hemorrhage in acute ICH.
    结论GCS评分低,血肿大,脑室出血及手术创伤是增加急性自发性脑内出血患者并发消化道出血风险的重要因素。
    Materials and Methods 30 patients of portal hypertension with upper GI hemorrhage belonged group A, 30 patients of portal hypertension without upper GI hemorrhage belonged group B. The diameter of gastriccoroonaryh vein, quantities and total accumulation area of the cross sections of the veins in gastro splenic region were measured.
    资料与方法肝硬化门静脉高压并发消化道出血患者30例为A组,未出血患者30例为B组。
 

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