老年患者上消化道出血186例临床分析

目的 探讨老年人上消化道出血的临床特点.方法 回顾分析我院2006年1月-2007年12月间收治的老年人上消化道出血186例的临床特点,并与同期中青年病例比较.结果 老年人上消化道出血仍以消化性溃疡多见(53.76%),但胃溃疡出血发生率增加(32.79%),高于十二指肠溃疡发生率(20.97%),与中青年人以十二指肠溃疡为主有显著差异;胃癌出血发生率显著上升(15.59%),占病因第二位,与中青年人相比差异显著;老年人合并病(47.84%)、并发症(27.41%)、再出血率(19.35%)和死亡率(11.82%)显著高于中青年组.结论 老年人上消化道出血仍以消化性溃疡为多见,胃溃疡、胃癌出血发生率增加,并发症多,再出血率和死亡率高.

Clinical analysis of 186 aged patients with upper gastrointestinal hemorrhage in the

Objective To investigate the clinical features of upper gastrointestinal hemorrhage in aged patient. Methods The clinical features of 186 aged patients with upper gastrointestinal hemorrhage treated in our hospital from January 2006 to December 2007 were retrospectively analyzed and compared with that of 430 young cases during the same time. Results The main cause of upper gastrointestinal hemorrhage in aged patients was also peptic ulcer (53.7%), and the bleeding rate of gastric ulcer (32.79%) was more than that of duodenal ulcer (20.97%), unlike the young cases have a higher bleeding rate of duodenal ulcer. The second cause of upper gastrointestinal hemorrhage in aged patients was gastric cancer. Conclusion The main canse of upper gastrointestinal hemorrhage in aged patients was peptic ulcer. The bleeding rate of gastric ulcer and gastric cancer increased significantly, and with a higher rate of complication, rehaemorrhagia and mortality.