摘要
目的 探讨老年人上消化道出血临床特点及意义。方法 回顾性分析上消化道出血老年患者 16 4例 ,并与同期非老年组 130例比较。结果 老年人上消化道出血病因中主要为酸相关性疾病 93例 (73 2 % ) ;胃癌 15例(11 8% ) ;低血压或休克老年组 2 7例 ,非老年组 12例 (P <0 0 5 ) ;使用非甾体类抗炎药物老年组 36例 ,非老年组 9例 (P <0 0 1) ;老年组死亡 2 1例 (其中 18例因全身慢性疾病恶化和出血后并发症死亡 ) ,非老年组死亡 5例 (P <0 0 1)。结论 酸相关疾病是老年人上消化道出血的主要病因 ,其次为胃癌。
Objective To study the clinical characteristics and significance of upper gastrointestinal bleeding in the aged.Methods The clinical data of 164 elderly patients with upper gastrointestinal bleeding were analysed and compared with those of non-aged patients with upper gastrointestinal bleeding in the same period.Results Among the elderly patients,73.2% were caused by acid peptic disease and 11.8% by gastric carcinoma. 27cases of elderly patients suffered from low blood pressure or shock, and there were 12 cases in non-aged patients.In bleeding patients, 36 cases of elderly patients were due to taking aspirin or NSAIDs (nonsteroidal antiflammatory drugs),and there were 9 cases in non-aged patients. In 21 cases of elderly dead patients (18 cases died from worsening of pre-existing chronic diseases and complication after bleeding), The number of non-aged dead patients was 5 (p<0.01).Conclusions Acid peptic diseases are the main cause of upper gastrointestinal bleeding in the aged. Gastric carcinoma is the second common cause. The pre-existing chronic disease and complications after bleeding are the important factors influencing the prognosis of upper gastrointestinal bleeding in elderly patients.
出处
《河南职工医学院学报》
2004年第3期234-236,共3页
Journal of Henan Medical College For Staff and Workers
