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目的:为提高对老年人消化道出血病因的认识,有助于提高本病的诊断率及治愈率。方法:回顾分析我院2009年10月至2013年10月间收治的老年人上消化道出血21例的临床特点,并与同期中青年病例比较。结果:老年人上消化道出血以各种消化性溃疡为多见,但是胃溃疡出血的发生率也在增加,与中青年人以十二指肠溃疡为主有显著差异;胃癌出血发生率显著上升,占病因第二位。与中青年相比差异显著。结论:老年人上消化道出血仍以消化性溃疡为多见,胃溃疡、胃癌出血发生率增加,并发症多,再出血率和死亡率高,应引起临床的重视。
Objective: To improve the understanding of the etiology of gastrointestinal bleeding in the elderly and help to improve the diagnosis and cure rate of this disease. Methods: The clinical features of 21 cases of upper gastrointestinal bleeding admitted to our hospital from October 2009 to October 2013 were retrospectively analyzed, and compared with the cases of middle-aged and young people in the same period. Results: The upper gastrointestinal bleeding in elderly patients with a variety of peptic ulcer is more common, but the incidence of gastric ulcer bleeding is also increasing, and young people with duodenal ulcer mainly have significant differences; gastric bleeding was significantly Rise, accounting for the second cause. Compared with middle-aged and young people, the difference is significant. Conclusion: The upper gastrointestinal bleeding in the elderly is still more common peptic ulcer, gastric ulcer, increased incidence of gastric cancer, complications, multiple rebleeding and high mortality, should cause clinical attention.