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摘 要 目的:探討老年上消化道出血的临床特征及治疗。方法:对2005年2月～2009年12月220例老年上消化道出血病例进行分析。结果:老年上消化道出血以消化性溃疡多见,胃癌及急性胃黏膜损伤次之。结论:老年上消化道出血应以内科综合治疗为主,有手术指征的病例也应在出血控制后再手术,以降低手术风险,内科综合治疗无效,应积极手术治疗。
关键词 老年 上消化道出血
doi:10.3969/j.issn.1007-614x.2010.20.071
AbstractObjective:To investigate the elderly the clinical features of upper gastrointestinal bleeding and the treatment.Methods:From February 2005 to December 2009 mitted cases of upper gastrointestinal bleeding were analyzed.Results:Elderly upper gastrointestinal bleeding in pepticulcers is more common,followed by gastric cancer and acute gastric mucosal damage.Conclusion:Old upper gastrointestinal bleeding should be mainly based on comprehensive treatment of the internal medicine.The cases of surgical indications should also be in bleeding control after surgery to reduce surgical risk.If a comprehensive medical treatment fails,surgical treatment should be positive.
Key wordsAged;upper gastrointestinal bleeding
关键词 老年 上消化道出血
doi:10.3969/j.issn.1007-614x.2010.20.071
AbstractObjective:To investigate the elderly the clinical features of upper gastrointestinal bleeding and the treatment.Methods:From February 2005 to December 2009 mitted cases of upper gastrointestinal bleeding were analyzed.Results:Elderly upper gastrointestinal bleeding in pepticulcers is more common,followed by gastric cancer and acute gastric mucosal damage.Conclusion:Old upper gastrointestinal bleeding should be mainly based on comprehensive treatment of the internal medicine.The cases of surgical indications should also be in bleeding control after surgery to reduce surgical risk.If a comprehensive medical treatment fails,surgical treatment should be positive.
Key wordsAged;upper gastrointestinal bleeding