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目的:总结老年上消化道出血的临床特点。方法:将我院2010年1月至2012年12月收治的上消化道出血患者422例分为老年组(n=200)和非老年组(n=222),比较两组的临床资料。结果:引起上消化道出血最主要的原因均为消化性溃疡,老年组中胃溃疡、胃癌的发生率均明显高于非老年组(P<0.05),而十二指肠溃疡和食管静脉曲张的发生率则均明显低于非老年组(P<0.05);老年组患者无腹痛率及伴随疾病率均显著高于非老年组(P<0.01)。结论:老年上消化道出血以胃溃疡和胃癌多见,同时伴有较多的并发症,死亡率较高。
Objective: To summarize the clinical features of upper gastrointestinal bleeding. Methods: 422 cases of upper gastrointestinal bleeding admitted to our hospital from January 2010 to December 2012 were divided into the elderly group (n = 200) and the non-elderly group (n = 222). The clinical data of the two groups were compared. Results: The most common cause of upper gastrointestinal bleeding was peptic ulcer. The incidence of gastric ulcer and gastric cancer was significantly higher in the elderly group than in the non-elderly group (P <0.05), while duodenal ulcer and esophageal varices Were significantly lower than those in the non-elderly group (P <0.05). The rates of abdominal pain and concomitant diseases in the elderly group were significantly higher than those in the non-elderly group (P <0.01). Conclusion: Upper gastrointestinal bleeding in elderly patients with gastric ulcer and gastric cancer more common, accompanied by more complications, higher mortality.