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目的探讨老年人上消化道出血的临床特点。方法回顾性分析我院1997年1月～2006年12月间收治的老年人上消化道出血198例的临床特点,并与同期中青年病例比较。结果老年人上消化道出血仍以消化性溃疡多见(52.02%),但胃溃疡出血发生率增加(31.31%),高于十二指肠溃疡发生率(20.71%),与中青年人以十二指肠溃疡为主有显著差异;胃癌出血发生率显著(14.65%),占病因第二位,与中青年人相比差异显著;老年病人合并病(43.43%)、并发症(25.76%)、再出血率(18.18%)和死亡率(11.62%)显著高于中青年组。结论老年人上消化道出血仍以消化性溃疡为多见,胃溃疡、胃癌出血发生率增加,并发症多,再出血率和死亡率高。
Objective To investigate the clinical features of upper gastrointestinal bleeding in the elderly. Methods The clinical features of 198 cases of upper gastrointestinal hemorrhage admitted to our hospital from January 1997 to December 2006 were retrospectively analyzed and compared with the cases of middle-aged and young people in the same period. Results The upper gastrointestinal bleeding was still common in peptic ulcer (52.02%), but the incidence of gastric ulcer bleeding increased (31.31%), which was higher than that of duodenal ulcer (20.71%). Duodenal ulcer mainly have significant differences; gastric bleeding incidence was significantly (14.65%), accounting for the second place, compared with young people significant difference; elderly patients with combined disease (43.43%), complications (25.76% ), The rate of rebleeding (18.18%) and the mortality rate (11.62%) were significantly higher than those in middle-aged and young people. Conclusion The upper gastrointestinal bleeding in elderly patients is still more common peptic ulcer, gastric ulcer, increased incidence of gastric cancer, complications, re-bleeding rate and high mortality.