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目的:分析老年胃溃疡合并胃出血的临床诊治方法,观察临床疗效。方法:选取2013年5月~2014年5月期间于我院接受治疗的老年胃溃疡合并胃出血患者80例,通过C13、C14尿素呼气试验与胃镜检查诊断,在胃镜辅助下给予内镜用药、激光凝固等治疗,同时给予大剂量奥美拉唑、选择性动脉注射收缩剂等综合治疗,进行为期1年的随访,观察患者是否出现再次出血症状,评价临床疗效。结果:本组患者治疗的总有效率为97.5%,治疗3d内再次出血者2例,经过对症处理后成功止血,随访期间患者均未出现再次出血现象。结论:老年胃溃疡合并胃出血严重影响了患者的生存质量,一旦确诊需要尽快采取综合方法实施治疗,在有效止血的基础上缓解、减轻临床症状,促进患者康复,避免再次出血,疗效良好,值得推广。
Objective: To analyze the clinical diagnosis and treatment of senile gastric ulcer combined with gastric hemorrhage and observe the clinical curative effect. Methods: 80 elderly patients with gastric ulcer and gastric ulcer who were treated in our hospital from May 2013 to May 2014 were selected and diagnosed by C13, C14 urea breath test and endoscopy with the aid of gastroscope. , Laser coagulation and other treatment, while giving high-dose omeprazole, selective arterial injection of shrinkage and other comprehensive treatment for a period of 1-year follow-up observation of patients with rebleeding symptoms, evaluate the clinical efficacy. Results: The total effective rate of treatment in this group was 97.5%. Two cases of rebleeding occurred within 3 days of treatment. After symptomatic treatment, hemorrhage was successfully stopped and no rebleeding occurred during follow-up. Conclusion: The elderly patients with gastric ulcer combined with gastric hemorrhage seriously affect the quality of life of patients, once diagnosed need to take an integrated approach to the implementation of treatment as soon as possible, based on the effective hemostasis to alleviate, reduce clinical symptoms and promote patient rehabilitation, to avoid rebleeding, the effect is good, it is worth Promotion.