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目的:探讨老年人上消化道出血的临床特点、诊治方法。方法:回顾性分析我院1999-01/2007-12消化科收治年龄≥60岁(老年组)124例上消化道出血患者的诊治经过。结果:124例患者中,消化性溃疡68例,其中胃溃疡41例,胃癌21例,肝硬化19例,胃黏膜病变13例,11例手术治疗,死亡12例。53例伴随其他基础疾病。结论:老年上消化道出血以消化性溃疡,特别是胃溃疡为主,消化道肿瘤增多。临床症状不典型,并发症多,常常合并其他基础疾病,治疗效果较差,复发率高,病死率高。老年性上消化道出血患者应首先考虑胃溃疡和肿瘤可能。
Objective: To investigate the clinical features, diagnosis and treatment of upper gastrointestinal bleeding in the elderly. Methods: The diagnosis and treatment of 124 cases of upper gastrointestinal bleeding in our hospital from January 1999 to December 2007 were retrospectively analyzed. Results: Of the 124 patients, peptic ulcer was 68 cases, including 41 cases of gastric ulcer, 21 cases of gastric cancer, 19 cases of liver cirrhosis, 13 cases of gastric mucosal lesions, 11 cases of surgical treatment and 12 cases of death. 53 cases with other underlying diseases. Conclusion: Upper gastrointestinal bleeding in elderly patients with peptic ulcer, especially gastric ulcer, gastrointestinal tumors increased. Atypical clinical symptoms, complications, and often combined with other underlying diseases, the treatment effect is poor, high recurrence rate, high mortality. Patients with senile upper gastrointestinal bleeding should first consider the possibility of gastric ulcer and cancer.