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目的探讨老年上消化道出血的临床特点。方法对87例老年上消化道出血患者的病因、临床表现、并发症、治疗及预后等方面进行回顾分析,并与同期住院的191例中青年上消化道出血进行对比。结果①老年人上消化道出血的病因依次为消化性溃疡、恶性肿瘤、急性胃黏膜病变、食管胃底静脉曲张破裂出血,其中消化性溃疡、恶性肿瘤发病率与中青年组相比具有显著性差异;②老年组的并发症、伴发病、再出血率、死亡率明显高于中青年组;③两组内科保守治疗治愈率差异具有统计学意义。结论老年人上消化道出血以消化性溃疡多见,胃溃疡、胃癌发病率明显高于中青年组,且病程长,并发症、伴发病多,出血难控制,病死率高。
Objective To investigate the clinical features of upper gastrointestinal bleeding in the elderly. Methods The etiology, clinical features, complications, treatment and prognosis of 87 elderly patients with upper gastrointestinal bleeding were retrospectively analyzed and compared with 191 cases of middle-aged and upper gastrointestinal bleeding hospitalized in the same period. Results ① The causes of upper gastrointestinal bleeding in the elderly were peptic ulcer, malignant tumor, acute gastric mucosal lesion and esophageal variceal bleeding. The incidence of peptic ulcer and malignant tumor was significantly higher than that of middle-aged group Difference; ② The complication, companion disease, rebleeding rate and mortality in the elderly group were significantly higher than those in the young and middle-aged group. ③ The cure rates of conservative treatment in the two groups were statistically significant. Conclusion Upper gastrointestinal bleeding in elderly patients with peptic ulcer more common, gastric ulcer, gastric cancer was significantly higher than the incidence of young and middle-aged group, and longer duration, complications, associated with multiple diseases, difficult to control bleeding, high mortality.