摘要
[目的]探讨老年人小肠出血的临床特点。[方法]回顾性分析2007年1月~2017年1月我院消化科收治的老年小肠出血患者64例(老年组),59例非老年小肠出血患者(非老年组)。比较2组小肠出血的病因分布、一般资料及临床特点。[结果]老年人小肠出血的首发病因为非甾体抗炎药(NSAIDs)相关肠病,而非老年组首发病因为小肠血管病变。老年小肠出血患者多具有合并心脑血管疾病病史、服用NSAIDs药物史、ICU住院时间延长和APACHEⅡ评分较高4个显著特点。老年人小肠出血后可并发急性冠状动脉综合征(ACS)、脑梗死。[结论]老年人小肠出血具有不同于非老年人的临床特点,关注上述特征可以从一定程度上提高老年人小肠出血的诊治水平。
[Objective]To investigate the clinical characteristics of small intestinal bleeding in the elderly.[Methods]A retrospective analysis was performed between 64 elderly patients（elderly group）and 59 cases of non-elderly patients（non-elderly group）both with small intestinal bleeding,which were admitted to the Gastroenterology department of Xuanwu hospital from January 2007 to January 2017.The etiological distribution,general data and clinical characteristics of the two groups were compared.[Results]The first etiology of small intestinal bleeding in elderly patients was due to non-steroidal anti-inflammatory drugs（NSAIDs）related enteropathy.Nevertheless,the first etiology in non-elderly group was vascular disease.The elderly patients with small intestinal bleeding had four significant characteristics：history of cardiovascular and cerebrovascular diseases,the history of taking NSAIDs drugs,the prolongation of ICU hospitalization days and the high APACHE Ⅱ score.Acute coronary syndrome（ACS）and cerebral infarction could occur after small intestinal bleeding in the elderly.[Conclusion]The clinical characteristics of elderly patients with small intestinal bleeding were different from those of non-elderly people.Focusing on the above characteristics could improve the diagnosis and treatment of small intestinal bleeding in elderly patients.
作者
池添雨
张玫
CHI Tian-yu;ZHANG Mei(Department of Gastroenterology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)
出处
《中国中西医结合消化杂志》
CAS
2018年第6期535-538,542,共5页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
