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本文总结了我院1985年1月至1990年1月收治的122例老年人上消化道大出血患者的病因、出血部位及出血程度等方面的特点。发现老年人胃溃疡并出血者比例明显增高,高位胃溃疡并出血者较国内文献报告亦高。其中发现2例Dieulafoy溃疡。老年人易发生失血性休克,本组发生休克者32例。80岁以上,就诊时已发生休克,血色素低于7g的食管胃底静脉曲张破裂出血者死亡率明显升高。急诊内镜对老年患者只要选择好适应症,术前作好抢救准备,操作熟练轻巧,仍不失为安全、可靠的检查手段。本组70岁以上40例经检查后未发生任何并发症。
This article summarizes the 122 patients aged from January 1985 to January 1990 in our hospital who suffered from upper gastrointestinal bleeding, the etiology, the bleeding site and the degree of bleeding. It was found that the proportion of elderly patients with gastric ulcer and bleeding increased significantly higher gastric ulcer and bleeding than the domestic literature is also high. Two cases of Dieulafoy ulcer were found. Old prone to hemorrhagic shock, the group of patients with shock in 32 cases. Over 80 years of age, shock has occurred at the time of treatment, hemoglobin less than 7g esophageal variceal bleeding was significantly higher mortality. Emergency endoscopy for elderly patients as long as the choice of indications, preoperative rescue preparations, skilled and lightweight operation, still safe and reliable means of inspection. The group over the age of 70 40 cases after examination without any complications.