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目的分析探讨老年上消化道出血患者的发病原因及危险因素,总结其临床特点及诊治经验。方法收集2007年1月至2011年1月期间我院消化内科收治老年上消化道出血患者共178例,对所有患者的临床资料进行回顾性分析调查,统计相关临床数据并加以分析。结果老年上消化道出血患者的最主要发病原因是消化性溃疡,约占46.1%,其次依次为胃黏膜损害、食道胃底静脉曲张、胃癌等;内科保守治疗后,其中治愈、好转、未愈例数,分别为79例、85例、14例。有效率为92.1%,其中有改手术治疗者10例,死亡病例数为4例。结论老年上消化道出血患者发病原因复杂,并发症多,明确的诊断与及时有效的内科治疗,对降低患者上消化道再出血及死亡机率有重要的作用。
Objective To analyze the causes and risk factors of elderly patients with upper gastrointestinal bleeding and summarize their clinical features and diagnosis and treatment experience. Methods A total of 178 cases of elderly patients with upper gastrointestinal hemorrhage admitted to our department from January 2007 to January 2011 were collected. The clinical data of all patients were retrospectively analyzed and analyzed. Relevant clinical data were collected and analyzed. Results The main cause of upper gastrointestinal bleeding in elderly patients was peptic ulcer, accounting for 46.1%, followed by gastric mucosal damage, esophageal varices, gastric cancer, etc .; conservative treatment, which cure, improve, heal The number of cases were 79 cases, 85 cases, 14 cases. The effective rate was 92.1%, of which 10 were changed the surgical treatment, the number of deaths in 4 cases. Conclusion The incidence of upper gastrointestinal bleeding in elderly patients with complicated causes and complications, a clear diagnosis and timely and effective medical treatment to reduce the incidence of upper gastrointestinal bleeding and death have an important role in the probability.