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Journal of The Korean Society of Emergency Medicine 1996;7(4): 521-529. |
| A CLINICAL STUDY OF UPPER GASTROINTESTINAL BLEEDING |
| Yong Joo Lee, Sung Tae Ahn, Seung Tae Han, Jun Hee Lee, Kyung Kook Kim, Jun Sig Kim |
| Department of Emergency Medicine, College of Medicine, Inha University, Sungnam, Korea |
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Published online: December 31, 1996. |
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| ABSTRACT |
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In a study of 258 cases of upper gastrointestinal bleeding admitted in Inha hospital during the 2 year period from January,1994 to December, 1995.
The following results were obstained ;
1) The causative diseases were esophageal varix(27.9%), gastric ulcer(15.9%), duodenal ulcer(12.4%), hemorrhagic gastritis(8.9%), stomach cancer(7.4%), Mallory-Weiss syndrome
(6.3%), combine causes(16.3%), unknown causes(5.0%) in this order.
2) The sex and age incidence of upper gastrointestinal bleeding revealed a greater prevalence in male with a ratio of 3.9:1 and in 4th-5th decades(25.6%).
3) The seasonal distribution showed that there was no variance.
4) The main types of bleeding on admission were ; hematemesis in 28.9%, melena in 28.9%, and the two combined in 42.6%.
5) The frequencies of previous bleeding were; the first bleeding history(65.2%), the more bleeding history(34.4%).
6) Blood transfusion was performed in 71.7% of the patients, in 50.8% with 1-5 pints, in 13.2% with 6-10 pints and in 7.8% with more than 10 pints.
7) 41.7% of the patients had possible precipitating factors of bleeding. Alcohol was the most common precipitating factor with its incidence 36.8%.
8) 94.5% of the patients were treated medically and 5.5% of the patients received operation.
9) The overall mortality rate was 9.8%(25 cases). The main causes of death were hypovolemic shock(8 cases), hepatic failure(8cases), sepsis(5 cases), etc.
Important factors affecting the prognosis were the causes of bleeding on admission, the state of the patients on admission, the amounts of blood transfused.
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