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目的提高对老年人急性上消化道出血病因的认识,有助于提高本病的诊断率及治愈率。方法选择我院2001年1月—2010年12月收治的老年人上消化道出血60例患者的临床资料,并与同期收治的中青年病例84例进行比较。结果老年组出血原因依次为消化性溃疡、胃癌、急性胃黏膜病变、食管静脉曲张破裂出血。结论老年急性上消化道出血患者,在治疗出血和原发病的同时要积极治疗伴发病及并发症,防止因大出血发生休克导致病情加重,同时降低病死率,提高老年人的生存质量。
Objective To improve the understanding of the etiology of acute upper gastrointestinal bleeding in the elderly and to improve the diagnosis and cure rate of this disease. Methods The clinical data of 60 patients with upper gastrointestinal bleeding admitted to our hospital from January 2001 to December 2010 were selected and compared with 84 cases of middle-aged and young patients admitted in the same period. Results The causes of bleeding in the elderly group followed by peptic ulcer, gastric cancer, acute gastric mucosal lesions, bleeding esophageal varices. Conclusions In the elderly patients with acute upper gastrointestinal hemorrhage, hemorrhage and primary disease should be actively treated with the complication and complications while preventing hemorrhage and the primary disease. The prevention of hemorrhagic shock from aggravating the condition, reducing the mortality and improving the quality of life of the elderly.