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本院近3年来共收治60岁以上的老年上消化道出血患者67例,与同期59岁以下非老年组50例,作一比较分析,以探讨其临床特点。临床资料:老年组年龄60～88岁,男女之比为2.04:1;非老年组年龄16～59岁,男女之比为1.85:1。病因经确诊,老年组中主要有溃疡病(47.2%)、肿瘤(22.3%)、不明原因(16.4%)、慢性炎症(5.9%)等;非老年组中为溃疡病(54%)、慢性炎症(18%)、肿瘤(8%)、急性胃粘膜病变(8%)、不明原因(4%)。老年组中,肿瘤和不明原因出血显著高于非老年组(P<0.05)。根据Balint临床分型,大出血型在老年组和非老年组中,
In the recent 3 years, 67 cases of elderly patients with upper gastrointestinal bleeding over 60 years old and 50 cases of non-elderly patients under 59 years old over the same period were treated for a comparative analysis to explore the clinical features. Clinical data: Elderly group aged 60 to 88 years old, male to female ratio of 2.04: 1; non-elderly group aged 16 to 59 years old, male to female ratio was 1.85: 1. The cause of the disease was diagnosed in elderly patients, including ulcer disease (47.2%), cancer (22.3%), unexplained (16.4%) and chronic inflammation (5.9%), ulcer disease (54% Inflammation (18%), tumor (8%), acute gastric mucosal lesions (8%), unexplained (4%). Elderly group, the tumor and unexplained bleeding was significantly higher than non-elderly group (P <0.05). According to Balint clinical classification, bleeding in the elderly group and non-elderly group,