상부위장관출혈에 관한 임상적 고찰

• Published in: The Korean journal of gastroenterology Vol. 16; no. 2; pp. 21 - 28
• Main Authors: 김창식, Chung Sik Kim, 박영학, Young Hak Park, 이창원, Chang Won Lee, 홍명호, Myung Ho Hong
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.1984
• ISSN: 1598-9992

Clinical observation was done on 362 cases of the upper gastrointestinal bleedings admitted to Seoul Adventist Hospital for 8 years from 1976 to 1983. And following results are obtained. 1) Seasonal incidence is following; autumn 32%, winter 29.8%, summer 19.9%, and spring 18.3%. 2) Among the causative diseases, gastric ulcer is revealed in 26.8%, duodenal ulcer in 22.7%, esophageal varices in 16.3%, gastric cancer in 14.4%, hemorrhagic gastritis in 12.7% and undetermined in 7.1%. The ratio of male to female is 4. 7: 1 and male is prevalent. 3) Peak age incidence is in 5th-6th decade and present in 51.2% of total cases. 4) Of the severity of hemorrhage by Cammock's classification, severe hemorrhage observed in 55.0%, moderate hemorrhage in 20.7% and mild hemorrhage in 24.3% 5) On the distribution of ABO blood type of 252 cases, type O is observed in 33.3%, type A in 28.0% type AB in 26.6% and type B is in 11.5%.6) In 252 patients who needed blood transfusion, 73.8% of them were transfused with 1 gp pints, 24.2% with 11-20 pints, 1.6% with 21~30 pints and 0.4% with 31 pints more. 7) Among the 278 cases of the upper gastrointestinal bleedings, 33.8% Of total cases received and took an endoscopic examination within 24 hours after episode of initial bleeding. And 6.1% of cases were showed within g hours. G) The overall mortality of the total 362 cases is 5.2% and the mortality with medical treatment(4.2%) is less than that of surgical treatment(7.3%'). And 73.6% with medical treatment was improvement comparing to 67.5% with surgical treatment. This results showes the medical treatment is more effective.