急诊老年人酸相关性上消化道出血分析

目的探讨诊老年人与酸相关性上消化道出血的原因及特点。方法对239例与酸相关性老年人消化道出血进行回顾性分析。结果老年人酸相关性上消化道出血占所有上消化道出血的57.87%，其中，胃食管反流病占1.67%，消化性溃疡占63.18%，胃炎或十二指肠球炎占9.21%，功能性消化不良占0.84%，急性胃黏膜病变占25.10%。死亡27例，其中直接死于出血1例，占3.70%，死于全身慢性疾病恶化以及出血后并发症及继发的多脏器功能衰竭24例，占88.89%。病死率占总数的11.30%。结论酸相关性疾病是老年人上消化道出血的主要原因，影响预后的因素更倾向于基础疾病及全身状况的恶化。 

Analysis of acid peptic upper gastrointestinal hemorrhage in old patient from emergency room

ObjectiveTodiscuss causes and characteristics of acid-related upper gastrointestinal bleeding of elderly people in emergency department. Methods 239 patients with acid related gastrointestinal bleeding in the elderly were analyzed retrospectively.ResultsElderly acid-related upper gastrointestinal bleeding accounted for 57.87% of upper gastrointestinal bleeding, which accounted for 1.67% of gastroesophageal reflux disease, accounting for 63.18% of peptic ulcer, gastritis or duodenal inflammation accounted for 9.21%, accounting for 0.84% of functional dyspepsia, accounted for 25.10% of acute gastric mucosal lesion. 27 died, one died of bleeding in 1 case directly, accounting for 3.70%, chronic systemic disease progression and died of bleeding complications and multiple organ failure secondary to 24 cases, 88.89%. 11.30% of the total mortality.ConclusionThe acid-related diseases are the main reason for upper gastrointestinal bleeding in the elderly, prognostic factors and systemic underlying diseases tend to worsen the situation.