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目的探讨老年上消化道出血的临床特点及治疗。方法对我院2000年1月～2006年12月收治的老年上消化道出血病例进行分析。结果240例老年人上消化道出血中,消化性溃疡132例,胃癌44例,急性胃黏膜损害44例,食道胃底静脉曲张16例,其他4例。结论老年上消化道出血应以内科综合治疗为主,有手术指征的病例也应在出血控制后再手术,以降低手术风险,内科综合治疗无效,应积极手术治疗。
Objective To investigate the clinical features and treatment of upper gastrointestinal bleeding in the elderly. Methods The hospital from January 2000 to December 2006 admitted to the elderly cases of upper gastrointestinal bleeding were analyzed. Results In 240 elderly patients with upper gastrointestinal bleeding, there were 132 cases of peptic ulcer, 44 cases of gastric cancer, 44 cases of acute gastric mucosal lesion, 16 cases of esophageal and gastric varices, the other 4 cases. Conclusions Elderly upper gastrointestinal bleeding should be based on the comprehensive medical treatment. Cases with indications for surgery should be operated after bleeding control to reduce the risk of surgery. The comprehensive medical treatment should be ineffective and active surgical treatment should be performed.