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本文分析了经急症内窥镜诊断的221例老年人上消化道出血的病因。其中消化性溃疡占45.2%,急性和慢性胃粘膜炎症占21.3%,肿瘤占20.8%,食管静脉曲张占6.8%,以及其他等等。与其他年龄组的资料不同为老年人消化性溃疡中以胃溃疡为多,高位和巨大的溃疡多见;多数病人无典型病史和症状;胃癌集中于60～69岁组,大于70岁的病人中胃癌发病率却见减低,大于80岁的8例中无1例胃癌;食管静脉曲张的比率明显低于其他年龄组。221例中无1例因检查而发生并发症,故急症内窥镜检查对上消化道出血的老年病人也是适宜的和安全的。
This article analyzes the cause of upper gastrointestinal bleeding in 221 elderly patients diagnosed by emergency endoscopy. Including peptic ulcer 45.2%, acute and chronic gastric mucosal inflammation accounted for 21.3%, tumors accounted for 20.8%, esophageal varices accounted for 6.8%, and so on. Different from the data of other age groups, there are many peptic ulcer patients with peptic ulcer, high and large ulcers are common in the elderly; most patients have no typical history and symptoms; gastric cancer is concentrated in patients aged 60-69, patients older than 70 The incidence of gastric cancer was reduced, no more than 80 cases of 8 cases of gastric cancer; esophageal varices was significantly lower than the other age groups. No one of the 221 cases had complications due to the examination, so emergency endoscopy is also suitable and safe for elderly patients with upper gastrointestinal bleeding.