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目的探讨老年人消化性溃疡的临术和胃镜特点。方法对1995—2000年间该院胃镜检查确诊老年性消化性溃疡254例临床资料进行分析。结果上腹痛203例,腹痛无典型节律性132例,腹胀、食欲减退53例,嗳气返酸56例,并发上消化道大出血60例、大出血内科保守治疗无效转外科手术治疗26例;胃窦溃疡41例、胃角以上溃疡103例,球部溃疡76例;直径大于25cm溃疡32例;HP感染阳性159例。结论老年人消化性溃疡特点①无痛性溃疡多,腹痛节律性不明显,伴随症状少,并发症多且严重,尤以上消化道大出血多,大出血内科保守治疗疗效相对欠佳;②高位溃疡、巨大溃疡多;③HP感染率相对较低。
Objective To investigate the characteristics of gastroscopy and peptic ulcer in the elderly. Methods Clinical data of 254 cases of senile peptic ulcer diagnosed by gastroscopy from 1995 to 2000 were analyzed. Results 203 cases of upper abdominal pain, abdominal pain without typical rhythmic 132 cases, abdominal distension, loss of appetite in 53 cases, 56 cases of hyperlipidemia, complicated by upper gastrointestinal bleeding in 60 cases, conservative treatment of hemorrhage ineffective surgical treatment of 26 cases; gastric ulcer 41 cases, 103 cases of ulcer above the corner of the stomach, 76 cases of ulceration; diameter greater than 2 5cm 32 cases of ulcer; HP positive 159 cases. Conclusions The characteristics of peptic ulcer in the elderly are as follows: ① There are many painless ulcers, the rhythm of abdominal pain is not obvious, accompanied by less symptoms, more and more complications, especially the upper gastrointestinal bleeding, conservative treatment of bleeding is relatively poor; ② high ulcers, Large ulcers and more; ③ HP infection rate is relatively low.