老年人上消化道出血283例分析

目的:分析探讨老年性上消化道出血的临床特点。方法:收集2006年2月至2010年11月于我院治疗的老年上消化道出血患者283例和非老年上消化道出血患者215例,分为两组,比较两组患者上消化道出血临床表现、出血原因以及预后情况。结果:①老年组造成上消化道出血病因中胃溃疡、胃癌和急性胃粘膜病变患病率明显高于非老年组,而十二指肠球部溃疡患病率明显低于非老年组,差别均有统计学意义(P<0.05)。②头晕乏力、失血性休克、贫血临床表现老年组中发生率明显高于非老年组,上腹痛者老年组发生率明显低于非老年组,差别均有统计学意义(P<0.05)。③老年组中死亡率明显高于非老年组,两者差别有统计学意义(P<0.05)。结论:老年人上消化道出血在病因、临床表现、预后方面有着显著特点,掌握其临床特点,及早发现并干预,对于阻止病情进展、降低死亡率具有显著意义。

Clinical Analysis of 283 Aged Patients with Upper Gastrointestinal Hemorrhage

Objective: To investigate the clinical features of upper gastrointestinal hemorrhage in aged patient.Method: 283 aged patients with upper gastrointestinal hemorrhage and 215 non-elderly patients with upper gastrointestinal hemorrhage were collected from Feb.2006 to Nov.2010 in our hospital.To compare the clinical features,the hemorrhage reason and the prognosis in the two groups.Result: ①The sickness rate of gastric ulcer and gastric cancer and acute gastric mucosal lesion in the aged group was significantly higher compared with the non-elderly group.The sickness rate of duodenal ulcer in the aged group was significantly lower compared with the non-elderly group(P <0.05);②The incidence of dizziness fatigue and shock and anemia in the aged group was significantly higher compared with the non-elderly group.The incidence of upper abdominal pain in the aged group was significantly lower compared with the non-elderly group(P <0.05);③The mortality in the aged group was significantly higher compared with the non-elderly group(P <0.05).Conclusion: The cause,clinical feature and prognosis of upper gastrointestinal hemorrhage in the aged patients were significantly different from the on-elderly patients.It has great value in preventing the progression of disease and reduces mortality if we can find and intervene early.