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上消化道出血是临床常见急症之一,其病死率为5～50%,取决于出血的原因和病人的年龄。我院内科1985～1990年间共收治上消化道出血1763例,其中>60岁241例,占13.7%。本文对241例老年人上消化道出血临床特征进行回顾性分析,并与同期住院的中青年组241例进行对比,探讨其特点及临床意义。临床资料1.对象:本组病人临床上有呕血和/或黑便等主要临床表现,全部经纤维胃镜、钡餐或急诊手术确
Upper gastrointestinal bleeding is one of the common clinical emergency, the case fatality rate of 5 to 50%, depending on the cause of bleeding and the patient’s age. A total of 1763 cases of upper gastrointestinal bleeding were treated in our hospital from 1985 to 1990, of which 241 cases were over 60 years old, accounting for 13.7%. In this paper, 241 elderly patients with upper gastrointestinal bleeding were retrospectively analyzed and compared with 241 hospitalized young and middle-aged patients in the same period to investigate their characteristics and clinical significance. Clinical data 1. Subjects: This group of patients clinically vomiting and / or melena and other major clinical manifestations, all by endoscopy, barium meal or emergency surgery