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目的:探讨急性上消化道出血患者的病因及临床特征。方法:回顾性分析台州市玉环县坎门街道社区卫生服务中心323例急性上消化道出血患者按年龄分为三组后的病因分布、临床指标与并发症情况。结果:老年组患者因消化系统癌症而患病比例显著性高于青、中年组,因十二指肠部溃疡与胃底静脉曲张破裂而患病比例显著性低于青、中年组(P<0.01);老年组患者因急性胃粘膜破损与胃部溃疡而患病比例明显高于青、中年组,差异有统计学意义;中、老年两组患者出血量、临床症状评分与住院时间显著性高于青年组患者,老年组患者出血量、临床症状评分与住院时间显著性高于中年组患者,老年组患者并发肺感染与急性心肌梗死比例显著高于青、中年组(P<0.01)。结论:青年与中年患者多因十二指肠部溃疡与胃底静脉曲张破裂致病,老年患者多因消化系统癌症、胃部溃疡致病与急性胃黏膜破损致病,老年组上消化道出血量症状与并发症均较严重,需重点治疗与预防。
Objective: To investigate the etiology and clinical features of patients with acute upper gastrointestinal bleeding. Methods: A retrospective analysis of 323 eases of acute upper gastrointestinal bleeding in Community Health Service Center of Kanmen Street, Yuhuan County, Taizhou City was conducted. The etiological distribution, clinical indexes and complications were divided into three groups according to age. Results: The proportion of elderly patients suffering from digestive system cancer was significantly higher than that of young and middle-aged patients. The prevalence of duodenal ulcer and gastric varices was significantly lower than that of young and middle-aged patients P <0.01). The prevalence of acute gastric mucosal injury and gastric ulcer in the elderly group was significantly higher than that of the young and middle-aged patients, the difference was statistically significant. The bleeding volume, clinical symptom score and hospitalization The time was significantly higher than the youth group patients, elderly patients with bleeding, clinical symptom scores and hospitalization was significantly higher than the middle-aged patients, elderly patients with pulmonary infection and acute myocardial infarction was significantly higher than the proportion of young and middle-aged patients P <0.01). Conclusion: The young and middle-aged patients are mostly caused by the rupture of duodenal ulcer and varicose veins. The elderly patients are mostly caused by digestive system cancer, pathogenic gastric ulcer and acute gastric mucosal injury. The upper gastrointestinal tract Symptoms and complications of bleeding are more serious, need to focus on treatment and prevention.