老年人上消化道出血的病因构成及相关因素研究 |
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引用本文: | 谢战杰,王子鸿,邬弋.老年人上消化道出血的病因构成及相关因素研究[J].中国中西医结合消化杂志,2014(1):27-29. |
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作者姓名: | 谢战杰 王子鸿 邬弋 |
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作者单位: | 宁波市第二医院急诊科,浙江宁波315010 |
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摘 要: | 目的]探讨老年人上消化道出血的病因构成及其相关因素。方法]选取2011年2月~2013年6月间因上消化道出血到我院就诊的250例老年上消化道出血患者,对其发病原因进行统计分析,并研究病因与诱因的相关性。结果]250例老年急性上消化道出血患者的主病因依次为:出血性胃炎(32%)、胃(24%)及十二指肠溃疡(28%)、胃肿瘤(10%)等,男性患者发病的比例明显高于女性患者(P〈O.05);不同病因间的诱因构成不同,出血性胃炎主由酗酒(33%)引起;而胃溃疡的主诱因为饮食不当(38.1%)和长期服用药物(22%);此外,老年上消化道出血患者中服用非甾体类抗炎药物的患者比例高达40.4%。结论]老年患者急性上消化道出血病因主包括出血性胃炎、胃及十二指肠溃疡等,常见诱因的相关因素包括酗酒、饮食不当、药物影响等,在诊疗过程中应尽早明确病因,并针对不同病因制订不同治疗方案,才能取得患者较好的疗效及预后。
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关 键 词: | 急性上消化道出血 老年人 出血性胃炎 十二指肠溃疡 |
Constituent ratio of causes and study of related factors of upper gastrointestinal hemorrhage in emergency |
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Institution: | XIE Zhan-jie ,WANG Zi-hong ,WU Ye(Department of Emergency, the Second Hospital of Ningbo, Ningbo 315010, China) |
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Abstract: | Objective]To explore the causes of the elderly upper gastrointestinal bleeding and its related factors. Methods]Two hundred and fifty cases of elderly patients with upper gastrointestinal bleeding from Feb 2011 to Jun 2013 in our hospital were statistical analyzed for detecting its possible causes. Results]In two hundred and fifty cases of elderly patients with acute upper gastrointestinal bleeding, the main cause was hemorrhagic gastritis (32%), stomach ulcer (24%) and duodenal ulcer (28%) and gastric cancer (10 %). The proportion of male patients was significantly higher than female patients (P〈0.05). Hemor- rhagic gastritis was mainly caused by alcohol (33 %). And the main cause of gastric ulcer was improper diet (38. 1%) and the long-term use of drugs (22%). In addition, the old patients with upper gastrointestinal bleeding in patients taking NSAID drugs ratio was as high as 40.4%. Conclusion]Elderly patients with a- cute upper gastrointestinal hemorrhage etiology mainly includes the hemorrhagic gastritis, gastric and duo- denal ulcer. The common cause of relevant factors include alcohol,improper diet,drug effects, etc.. |
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Keywords: | acute upper gastrointestinal bleeding incentives hemorrhagic gastritis duodenal ulcer |
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