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目的探讨老年上消化道出血的病因,并就相关因素进行分析。方法对同期因上消化道出血在我院住院的218例老年患者及186例非老年患者的临床资料进行统计分析。结果老年组胃溃疡、胃癌致上消化道出血及不明原因出血的发病率高于非老年组。老年组的十二指肠球部溃疡发病率、幽门螺杆菌感染率低于非老年组;老年组肝硬化致上消化道出血发病率与非老年组相似。结论老年上消化道出血中,胃溃疡、胃癌以及不明原因出血者高于非老年组。
Objective To investigate the etiology of upper gastrointestinal bleeding and analyze the related factors. Methods The clinical data of 218 elderly patients and 186 non-elderly patients hospitalized with upper gastrointestinal bleeding in our hospital during the same period were statistically analyzed. Results The incidence of gastric ulcer, gastric upper gastrointestinal bleeding and unexplained bleeding in the elderly group was higher than that in the non-elderly group. The incidence of duodenal ulcer and Helicobacter pylori infection in the elderly group were lower than those in the non-elderly group. The incidence of upper gastrointestinal bleeding in the elderly group was similar to that in the non-elderly group. Conclusion In elderly patients with upper gastrointestinal bleeding, gastric ulcer, gastric cancer and unexplained hemorrhage were higher in non-elderly patients.