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目的:探讨高龄上消化道出血的病因及发病特点。方法:应用回顾性方法选取2005-01-2009-06黑龙江省佳木斯市中心医院上消化道出血病例80例,以40例老年人(65岁以上)为观察组,以40例中青年患者为对照组进行临床分析比较。结果:消化性溃疡、食管癌和胃癌、急性糜烂出血性胃炎是引起高龄上消化道出血的三大主因,分别占42.5%、32.5%、15%。结论:消化性溃疡,食管癌和胃癌,急性出血性胃炎是高龄上消化道出血的三大主要病因。高龄上消化道出血的患者,出血量大,病情发展快,止血时间长,伴发病多,病死率高,肿瘤发病率高,患者不配和检查,影响诊断及救治。
Objective: To investigate the etiology and pathogenesis of upper gastrointestinal bleeding. Methods: We retrospectively selected 80 cases of upper gastrointestinal bleeding in Jiamusi Central Hospital from January 2005 to June 2009 with 40 elderly (over 65 years) as observation group and 40 middle-aged and young patients as control Group for clinical analysis and comparison. Results: Peptic ulcer, esophageal and gastric cancer, acute erosive hemorrhagic gastritis were the three major causes of upper gastrointestinal bleeding, accounting for 42.5%, 32.5% and 15% respectively. Conclusions: Peptic ulcer, esophageal and gastric cancer and acute hemorrhagic gastritis are the three major causes of upper gastrointestinal bleeding. Elderly patients with upper gastrointestinal bleeding, bleeding, rapid progression, stop bleeding for a long time, with multiple diseases, high mortality, high incidence of cancer, the patient unworthy and examination, the impact of diagnosis and treatment.