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目的 :探讨老年人胃癌的特征及内镜检查并发症。方法 :对内镜诊断的 2 5 3例老年人胃癌病例进行回顾分析。结果 :老年人胃癌占同期胃癌的 31.5 % ,占老年人胃部疾病的 7.4% ,临床表现主要为不规律上腹痛、食欲减退、消瘦、吞咽梗阻、贫血等 ,部位以贲门及胃底部多见 (34 .8% ) ,组织学分型以低分化腺癌最多 (44 .3% ) ,老年人内镜检查易发生心脏并发症。结论 :有上腹症状的老年人内镜检查指征应放宽 ,检查时尤其要注意贲门胃底部 ,对有心脏疾病的患者指征应严格掌握。
Objective: To investigate the characteristics of elderly patients with gastric cancer and endoscopic complications. Methods : Retrospective analysis of 253 cases of elderly patients with gastric cancer diagnosed by endoscopy. Results: The elderly gastric cancer accounted for 31.5% of the gastric cancer in the same period, accounting for 7.4% of the elderly stomach diseases. The clinical manifestations were mainly irregular abdominal pain, loss of appetite, weight loss, swallowing obstruction, anemia, etc. See (34.8%), histological type with poorly differentiated adenocarcinoma (44. 3%), elderly endoscopy is prone to cardiac complications. Conclusions: The indications for endoscopy in the elderly with upper abdominal symptoms should be relaxed. In particular, the bottom of the gastric cardia should be taken into account during the examination. The indications for patients with heart disease should be strictly controlled.