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1981年5月至1997年2月我院对246例以便血为主诉的老年人进行了大肠镜检查,现将结果报告如下:1.一般资料:男179例,女67例,男女之比为2.67:1。年龄60～79岁,其中60～70岁191例,>70岁者55例。发病至就诊时间3天至10年。全部病例均以便血为临床主诉,其中有休克症状的大出血患者11例,血红蛋白降至100g/L 以下的中等量出血者74例,其余161例属轻度出血。2.器械与方法:全部病例均采用日本 Olympus 各型大肠镜进行检查,中等量以上出血者一般在出血停止后进行检查,小量出血者可随时检查。除45例因新生物堵塞肠腔引起狭窄不能继续插镜外,其余201例中的194例均插至回盲部,成功率为96.5%。3.结果:246例老年患者大肠镜检查结果见附表。
May 1981 to February 1997 in our hospital 246 cases of blood-based elderly patients underwent colonoscopy, the results reported as follows: 1. General information: 179 males and 67 females, the ratio of men to women 2.67: 1. Age 60 to 79 years, of which 191 cases of 60 to 70 years old, 55 cases of> 70 years old. The onset of treatment to 3 days to 10 years. In all cases, blood was taken as the chief complaint. Among them, there were 11 cases of major hemorrhagic shock, 74 cases of moderate hemorrhage with hemoglobin below 100g / L, and 161 cases of mild hemorrhage. 2. Instruments and Methods: All cases were examined by Olympus various types of colonoscopy in Japan, and those with medium amount of bleeding were usually checked after bleeding stopped. Small amount of bleeding could be checked at any time. In addition to 45 cases of neoplasia due to blockage of the intestinal lumen can not continue to insert the mirror, the remaining 201 cases of 194 cases were inserted into the ileocecal Department, the success rate was 96.5%. 3. Results: The results of colonoscopy in 246 elderly patients are shown in the attached table.