摘要目的 探讨急性上消化道出血的病因和相关因素.方法 回顾性分析某院4年来经胃镜检查的539例急性上消化道出血的临床资料.结果 该组资料显示,急性上消化道出血的主要病因依次为消化性溃疡、急性胃黏膜病变、食管胃底静脉曲张、胃癌和贲门黏膜撕裂,男性明显高于女性,消化性溃疡占各年龄组急性上消化道出血病因的首位.结论 急性上消化道出血以消化性溃疡、急性胃黏膜病变、食管胃底静脉曲张、胃癌和贲门黏膜撕裂为最常见的原因.

abstractsObjective To discuss the causes of acute upper gastrointestinal bleeding(AUGB) and the rela-tive factors. Methods Retrospective analysis was performed on the data of 539 cases of AUGB underwent gastroscopy from April 2003 to March 2007. Results The principal causes of AGUB were peptic ulcer,acute gastric mucosal le-sion,esophageal varices,gastric cancer and cardial mucosal fissure. The rate in male was higher than that in female. Peptic ulcer was the first cause of AUGB in all groups. Conclusion The principal causes of AUGB were peptic ul-cer,acute gastric mucosal lesion, esophageal varices, gastric cancer and cardial mucosal fissure. Age and sex were cor-relative with AUGB.