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本文对142例老年患者上消化道出血进行了胃镜检查，发现老年上消化道出血病因依次为消化性溃疡，癌肿、慢性胃炎。老年患者病情重，伴随病多。肠腺化生及不典型增生明显多于非老年患者（P＜0．05），幽门螺杆菌（HP）阳性率略低于对照组．两组无明显差异（P＞0．05）。
In this paper, 142 elderly patients with upper gastrointestinal bleeding were gastroscopy and found that the cause of upper gastrointestinal bleeding in order were peptic ulcer, cancer, chronic gastritis. Elderly patients with severe illness, accompanied by more disease. Intestinal metaplasia and dysplasia were significantly more than non-elderly patients (P <0.05), the positive rate of Helicobacter pylori (HP) was slightly lower than the control group. There was no significant difference between the two groups (P> 0.05).