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目的 探讨危险性积分系统在老年人急性上消化道出血中的应用价值。 方法 采用Rockall危险性积分系统回顾性分析我院 3 0 0例急性上消化道出血患者再出血和死亡的危险性。 结果 1 4 0例老年患者总积分〔( 4.3± 1 .9)分〕稍大于 1 60例非老年患者〔( 2 .9± 2 .2 )分〕。老年患者再出血率 ( 2 5.0 % )和病死率 ( 2 2 .1 % )明显高于非老年患者 (分别为 1 4 .4 %和 1 1 .9% ,P<0 .0 5) ;两组再出血率和病死率随积分增高而增高。 结论 对老年急性上消化道出血患者采用此积分系统 ,有利于临床早期预测出血后危险性 ,以期指导临床治疗。
Objective To explore the value of risk integral system in acute upper gastrointestinal bleeding in the elderly. Methods Retrospective analysis of 300 patients with acute upper gastrointestinal bleeding in our hospital re-bleeding and death risk. Results A total of 140 elderly patients (4.3 ± 1.9) were slightly larger than 160 non-elderly patients (2.9 ± 2.2) points. The rate of rebleeding (25.0%) and case fatality (22.1%) were significantly higher in elderly patients than in non-elderly patients (14.4% vs 11.9%, P <0.05) The rate of rebleeding and mortality increased with the increase of integral. Conclusion The use of this integral system in the elderly patients with acute upper gastrointestinal bleeding is conducive to the early prediction of the risk of bleeding after clinical, with a view to guiding clinical treatment.