Clinical analysis of 336 cases of upper digestive tract homorrhage in the shipboard personnel
10.3760/cma.j.issn.1009-6906.2015.02.010
- VernacularTitle:336例海勤人员上消化道出血临床分析
- Author:
Biyan FANG
1
;
Chenguang ZHOU
Author Information
1. 解放军第四一三医院内镜室, 浙江省舟山,316000
- Publication Type:Journal Article
- Keywords:
Shipboard personnel;
Upper digestive tract hemorrhage;
Clinical analysis
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2015;22(2):126-129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical features,induction factors and causes of upper digestive tract homorrhage in the shipboard personnel,so as to provide evidence for its prevention and treatment.Methods Clinical data of 336 cases with upper digestive tract homorrhage among the shipboard personnel were analyzed retrospectively.At the same time,971 cases of upper digestive tract homorrhage that occurred in the non-shipboad personnel with the same age catogery were selected as control.Results The shipboard personnel with upper digestive tract homorrhage were mostly under the age of 30,while the non-shipboard personnel who had the same problem were older than 30.Main induction factors of upper digestive tract hemonrhage among the shipboard personnel were:motion sickness (accounting for 58.6％),next excessive fatigue (accounting for 10.2％);then mental stress (accounting for 8.6％),and finally alcoholism (accounting for 7.7％).Research findings revealed that the disorder was not directy related to the application of nonsteroidal antiinflammtory drugs (NSAIDs).On the other hand,main induction factors of upper digestive tract hemorrhage in the non-shipboard personnel were:alcoholism and the application of NSAIDs,and the disorder was also closely related with excessive fatigue,mental stress and excessive eating.The main causes of upper digestive tract hemorrhage among the shipboard personnel were peptic ulcer,gastric mucosal erosion and cardia laceration,while the main reason for upper digestive tract homorrhage among the non-shipboard personnel was also peptic ulcer.In addition,gastro-esophageal varices,gastric mucosal erosion and gastric cancer were also common causes for the disorder (accouting for 41.8％).Conclusions The main induction factor of upper digestive tract homorrhage among the shipboard personnel was motion sickness and the main cause of the disease was peptic ulcer.For this reason,measures should be taken to guard against motion sickness,e.g.strengthening anti-seasickness exercise,and administering medication and acupuncture when motion sickness occurred.The prevention and treatment of motion sickness would help to reduce the occurrence of peptic ulcer.For the patients with known peptic ulcer,the administration of mucosal protective agent and a proton pump inhibitor could achieve satisfactory results.
