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本文对114例经胃镜、手术、X线钡餐确诊的老年上消化道出血患者,从病因、治疗方式及预后分析发现,溃疡病占首位57.0％,依次为急性胃粘膜病变26.3％,胃肿瘤8.8％,食道静脉曲张破裂5.3％,原因不明2.6％。病死率为7.9％。凡出血时间超过3天或反复出血者死亡率高,应及时考虑手术或激光等止血。由于老年人病史不够典型,约1/3病人出血原因与过去史不同,故强调首选胃镜在出血24小时内检查以及时确诊,有助于选择恰当的治疗方式,降低病死率。
In this paper, 114 cases of upper gastrointestinal bleeding diagnosed by endoscopy, operation, X-ray barium meal in elderly patients with upper gastrointestinal bleeding, from the etiology, treatment and prognosis analysis found that ulcer disease accounted for the first 57.0%, followed by acute gastric mucosal lesions 26.3%, 8.8 %, Esophageal varices 5.3%, unexplained 2.6%. The case fatality rate was 7.9%. Where the bleeding time of more than 3 days or repeated bleeding high mortality, surgery or laser should be promptly considered to stop bleeding. Due to the history of the elderly is not typical, about 1/3 of the causes of bleeding and past history is different, so emphasis on the preferred gastroscope within 24 hours of bleeding and timely diagnosis, help to choose the appropriate treatment and reduce mortality.