老年患者上消化道出血302例临床分析

目的探讨老年人上消化道出血及导致死亡的原因.方法回顾性总结分析上消化道出血老年组302例,并与同期非老年组463例相比较.结果老年人上消化道出血病因主要为胃溃疡（96例,占31.8%）、十二指肠溃疡（70例,占23.2%）、胃癌（30例,占9.9%）.非老年组主要为十二指肠溃疡（248例,占53.6%）;老年组患者并存其他疾病者162例中死亡23例,病死率14.2%,无并存疾病的老年组患者140例中死亡4例,病死率为2.9%,两组比较差异有统计学意义（P＜0.05）.结论消化性溃疡及胃癌是老年人上消化道出血的主要病因,并存其他疾病是影响老年人上消化道出血预后的重要原因.

Clinical analysis of upper digestive tract hemorrhage in 302 cases of aged people

Objective To study the causes of bleeding and death of upper digestive tract hemorrhage in old people.Methods Clinical datas of 302 patients with upper digestive tract hemorrhage in senile group were analysed retrospectively,compared with those of 463 patients in non-senile group at the same period.Results The major causes of upper digestive tract hemorrhage in old people were gastric ulcer(96 cases,31.8%),duodenal ulcer(70 cases,23.2%),carcinoma of stomach(30 cases,9.9%).While duodenal ulcer(248 cases,53.6%) was the leading cause in non-senile group.In senile group,23 of 162 patients(mortality 14.2%) with accompanying disease died,while 4 of 140 patients without other disease died(mortality 2.9%).Obvious difference existed between the two groups(P<0.05).Conclusion The major causes of upper digestive tract hemorrhage in old people are peptic ulcer and carcinoma of stomach.The chronic accompanying diseases are the important causes affecting the prognosis of upper digestive tract hemorrhage in old people.