日本消化器内視鏡学会雑誌
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
敗血症と急性上部消化管病変
野口 正彦房本 英之益沢 学鎌田 武信寒川 昌明高橋 道知大橋 教良杉本 侃
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1978 年 20 巻 7 号 p. 613-621

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The present study deals with the effect of sepsis on the occurrence and course of acute gastroduodenal lesions seen in patients with severe injury. In the sepsis group, acute gastroduodenal lesions were occurred in all of 15 patients, while they were found in 51 of 70 cases without sepsis. The difference was significant ( p <0.025). The frequency of acute gastric ulcer was higher in the sepsis group than in the non-sepsis group. The location of acute gastric ulcer was mainly in the corpus in patients with sepsis, but in non-sepsis group it was found in the antrum as well as the corpus. Acute hemorrhagic gastritis was found in the corpus in the both group. The complication of sepsis caused gastrointestinal bleeding and deteriorated the clinical course in 11 of 15 cases. These results suggest that sepsis may effect the occurrence and course of acute gastroduodenal lesions.
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