摘要
目的探讨老年人消化性溃疡出血的临床及病理特征。方法 116例消化性溃疡患者,根据年龄将患者分为老年组(≥60岁)和中青年组(<60岁),比较两组的消化性溃疡出血的临床及病理特征。结果老年组典型上腹痛、无症状、伴随发病率依次为11.8%、35.3%、30.9%;中青年组依次为43.8%、31.3%3、5.4%(P<0.05);老年组胃溃疡、十二指肠溃疡、巨大溃疡(直径>2 cm)发生率依次为52.9%、19.1%、20.6%;中青年组依次为10.4%、60.4%、8.4%(P<0.05)。老年组出血量1 000 mL以上分别为22.1%,中青年组为8.3%(P<0.05)。结论老年组典型上腹痛少、无症状伴随疾病多,胃溃疡及十二指肠溃疡多、异型增生多,大出血、中重度贫血多见,临床治疗难度大。
Objective To explore the clinical and pathological features of peptic ulcer with hemorrhage in elderly patients.Methods 116 patients with peptic ulcer were divided into elderly group（≥ 60 years） and middle-aged group（60 years old）;we compared the clinical and pathological features of the two groups.Results In the elderly group,the incidence of epigastric pain,asymptomatic and accompanying disease were 11.8%,35.3% and 30.9%,respectively;the middle-aged group were 43.8%,31.3% and 35.4%, respectively（P0.05）.In the elderly group,the incidence of gastric ulcer, duodenal ulcer and giant ulcers（diameter 2 cm） were 52.9%,19.1% and 20.6%,respectively;the middle-aged group were 10.4%,60.4% and 8.4%,respectively（P0.05）.In the elderly group,loss more than 1000 ml blood was 22.1%;the middle-aged group was 8.3%（P0.05）.Conclusions Elderly patients of peptic ulcer with less epigastric pain,more asymptomatic disease,gastric ulcer,duodenal ulcer,dysplasia,and bleeding,severe anemia are are difficult to cure.
出处
《实用临床医药杂志》
CAS
2011年第1期108-110,共3页
Journal of Clinical Medicine in Practice
关键词
消化性溃疡
出血
并发症
peptic ulcer
hemorrhage
complication
