melena

From January 1990 to February 1995, emergency endoscopy were performed in 220 patients with peptic ulcer bleeding. All patients with hematemesis and ( or) melena were referred.

1990年1月～1995年2月.对220例消化性溃疡出血病人进行了急诊内镜检查。

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Results Hematemesis, melena and splenomegaly were the major presentations.

结果呕血伴排柏油样便为主要临床表现，脾脏增大为体检特征。

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The main clinical manifestation were abdominal pain, abdominal mass, melena, constipation, diarrhea. 60% of patients had symptoms of abdominal pain.

主要临床表现有腹痛、腹部包块、黑便、便秘、腹泻。60%的患者有腹痛症状。

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cause analysis of the elder melena under colonoscope

老年便血病人结肠镜下的病因分析

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The common clinical presentations of the gastric smooth muscle tumors were ab-dominal pain ( 16/ 21), melena and hematemesis ( 12/ 21). and palpable abdominal mass ( 5/ 21) which was mainly seen in the malig-nancy.

临床特点以腹痛（16/21）、呕血及血便（12/21），以及腹部包块（5/12），腹块主要见于恶性肿瘤中。

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The overall occurrence of warning symptoms in this group was 53.5% ( 108/ 202), and 27.8% in those less than 45 years old. Melena, anemia, progressive dysphagia and continuous or recurrent vomiting were relatively common.

有报警症状者108例（53.5%），其中45岁以下者的报警症状发生率为27.8%，黑便、贫血、进行性吞咽困难和持续或反复呕吐是较特异的报警症状。

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Analysis of Melena in the Aged

185例老年人便血病因分析

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The clinical symptoms included abdominal pain in 34 cases, melena in 6 cases, acid reflux in 1 cases and 4 case was found incidentally.

主要临床症状包括腹痛34例、黑便6例、反酸1例，余4例均为体检发现。

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There are also some patients with cirrhosis showed a number of complications, such as melena, hematemesis.

也有部分患者表现为肝硬化的一些并发症, 如黑便 、 呕血.

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Xue Jian Ning Capsule for Hematemesis and Melena: An Observation of 100 Case

血见宁胶囊治疗吐血、黑便100例临床观察

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Results The main manifestations of gastric schwannoma were abdominal pains, abdominal mass, melena, upper gastrointestinal hemorrhage complicated with shock.

结果胃神经鞘瘤主要表现为腹痛、腹部肿块、黑便、上消化道出血并休克。

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He was febrile and jaundiced. However, no hematemesis or melena was noted.

他有发烧和黄疸的症状, 但是并没有吐血或血便的症状.

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Recurrent chronic and intermittent gastrointestinal bleeding ( melena, bloody stool), is the main symptom;

以反复发作的慢性间歇性消化道出血（黑便或便血）为主要症状；

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Results: No hematemesis or melena was observed in rabeprazole group, and one patient had melena in famotidine group, the prevalence rate was10%.

结果：雷贝拉唑组患者无呕血和黑粪出现，法莫替丁组有1例患者出现黑粪，发生率为10%。

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Besides the major symptoms of hematemesis and melena, serious patients usually accompany with some clinical features of acute peripheral circulatory failure and insufficiency of some important organs, etc.

其中，胃、十二指肠出血约占80%&90%，以呕血或（和）黑便为主要症状，重者常伴有急性周围循环衰竭以及重要器官功能不全等临床表现。

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[ Results] The symptoms of pylori obstruction remitted in all of the 20 patients and there were no complication of perforation, haematemesis and melena.

【结果】20例患者经内镜气囊扩张后症状都得到缓解，未发生穿孔、呕血或黑便等并发症。

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