老年上消化道出血87例临床分析

目的探讨老年上消化道出血的临床特点。方法对87例老年上消化道出血患者的病因、临床表现、并发症、治疗及预后等方面进行回顾分析,并与同期住院的191例中青年上消化道出血进行对比。结果①老年人上消化道出血的病因依次为消化性溃疡、恶性肿瘤、急性胃黏膜病变、食管胃底静脉曲张破裂出血,其中消化性溃疡、恶性肿瘤发病率与中青年组相比具有显著性差异;②老年组的并发症、伴发病、再出血率、死亡率明显高于中青年组;③两组内科保守治疗治愈率差异具有统计学意义。结论老年人上消化道出血以消化性溃疡多见,胃溃疡、胃癌发病率明显高于中青年组,且病程长,并发症、伴发病多,出血难控制,病死率高。

Clinical analysis of 87 cases old upper gastrointestinal hemorrhage

Objective To investigate the clinical features and treatments of upper gastrointestinal hemorrhage in aged.Methods Retrospectively analyzed the cause,clinical manifestation,Complication,treatment and prognosis of 87 aged cases,and compared them with those of 191 young cases in hospital during the same time.Results First,the causes of upper gastrointestinal hemorrhage in aged were sequentially peptic ulcer,mucous membrane pathological change of acute stomach,digestive tract malignant tumour and the oesophage...