摘要
目的:探讨老年人急性上消化道出血的临床特征,总结其诊断和治疗经验。方法:回顾性分析我院1998年1月至2007年12月219例老年人急性上消化道出血临床及内镜资料,从临床表现、诊断和治疗总结其临床特征。结果:占同期急性上消化道出血的17.6%,出血前有消化系统症状及病史者137例,以上消化道出血为首发症状者75例,同时患有心、肺、脑、肾重要脏器疾病者93例。结论:消化性溃疡、急性胃黏膜病变、胃癌为老年人急性上消化道出血的三大主要病因(84%),合并症、并发症多,再出血率和死亡率高,保守治疗效果不佳时,应尽早手术为宜。
Objective：To observe the characteristics of acute upper gastrointestinal hemorrhage in the elderly patient and summazize the diagnosis and treatment experiences. Methods：To analyze the clinical features and endoscopic informations of 219 elderly patients with acute upper gastrointestinal hemorrhage treated in our hospital from Jan. 1998 to Dee. 2007 retrospectively. Results：It was occupied 17.6% of all acute upper gastrointestinal hemorrhage cases at the same time, 137 cases had digestive system symptom and past illnesses, 75 cases had upper gastrointestinal hemorrhage firstly before other diseases; and 93 cases had heart, lung, br^in or kidney （ vital organs） diseases at the meanwhile. Conclusion： Peptic ulcer, acute gastric mucosal lesion, stomach cancer are three main causes of acute upper gastrointestinal hemorrhage in elderly patient. It will cause a lot of complications and increase the reoccurrence of hemorrhage and the mortality. Operation should be done early if the effect of conservative treatment is not well.
出处
《现代临床医学》
2009年第3期180-182,共3页
Journal of Modern Clinical Medicine
关键词
上消化道出血
老年人
诊断
治疗
upper gastrointestinal hemorrhag
elderly
diagnosis
treatment
