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老年人上消化道出血原因以溃疡病及急性粘膜出血常见,但对首次出血的病因分析较少。我们对本院1983年1月～1990年12月行内镜检查的60岁以上的老年人上消化遭出血236例(其中首次出血127例,非首次出血109例)进行结果统计分析,现报告如下: 资料与结果所有资料均为我院门、急诊及住院病人,检查时间在出血后5天内。在临床确诊为上消化道出血,而内镜检查无阳性发现者,则病因列入粘膜出血。一.一般资料:首次出血组127例,男101例,女26例。呕血53例,黑便27例,呕血黑粪便47例。其中大出血36例,伴休克或晕厥24例;非首次出血组109例,男84例,女25例,出血情况及并发症均与首
Causes of upper gastrointestinal bleeding in elderly patients with ulcer disease and acute mucosal bleeding are common, but the etiology of the first bleeding less. We conducted a statistical analysis of the results of 236 cases of upper gastrointestinal bleeding (127 cases of first-time bleeding and 109 cases of non-first-time bleeding) in the elderly over 60 years who underwent endoscopic examination from January 1983 to December 1990 in our hospital. As follows: Materials and Results All data are hospital door, emergency and inpatient, check the time within 5 days after bleeding. In clinical diagnosis of upper gastrointestinal bleeding, and no positive findings by endoscopy, the cause of mucosal bleeding included. First, the general information: The first bleeding group of 127 cases, 101 males and 26 females. Hematemesis in 53 cases, 27 cases of melena, hematemesis in 47 cases of hematemesis. Including 36 cases of hemorrhage, with shock or syncope in 24 cases; non-first bleeding group 109 cases, 84 males and 25 females, bleeding and complications are the first