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本文将14 726例次内窥镜检查资料按年龄分成3组作对比分析。老年组慢性胃炎占首位,胃癌第2,胃溃疡第3。性别除胃癌男多于女(7.37:1),其他病种无明显差异。老年组萎缩性胃炎比中,青年组为多,浅表性胃炎则相反。老年组胃溃疡多见,十二指肠溃疡少见,胃溃疡直径大于2.5cm及胃体高位溃疡明显比中、青年组多见,而幽门管溃疡少见。溃疡并发出血者老年组显著多于中、青年组。老年胃病常表现为无规律的上腹部钝痛、呕血及/或黑粪、消瘦,很少发生节律性上腹痛、夜间痛及反酸等症状。
In this paper, 14 726 cases of endoscopic examination data were divided into three groups by age for comparative analysis. Chronic gastritis in the elderly group accounted for the first place, stomach 2, gastric ulcer 3. There were no significant differences in other diseases except for gastric cancer more than female (7.37: 1). Atrophic gastritis in the elderly group than in the young group, superficial gastritis is the opposite. Gastric ulcer in the elderly group more common, rare duodenal ulcer, gastric ulcer diameter greater than 2.5cm and gastric ulcer was significantly more than in young group more common, and rare pyloric ulcer. Ulcer bleeding in elderly group was significantly more than in young group. Elderly stomach often manifested as irregular upper abdominal dull pain, hematemesis and / or black manure, weight loss, rare rhythmic upper abdominal pain, night pain and acid reflux and other symptoms.