老年人消化性溃疡出血临床、内镜及病理特征分析  

Clinical,endoscopic and pathological characteristics of geriatric peptic ulcer bleeding

作　　者：管贤伯 

机构地区：[1]安徽省庐江县医院内二科,安徽庐江231500

出　　处：《安徽医药》2009年第3期292-293,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨老年人消化性溃疡出血的临床、内镜及病理特征。方法按年龄分为老年组(≥60岁),非老年组(<60岁),比较老年组与非老年组消化性溃疡出血的临床、内镜及病理特征。结果老年组典型上腹痛、无症状、伴随疾病率依次为10%、55%、47.5%;非老年组依次为44%、20%、24%(P<0.05);老年组高位溃疡、十二指肠球部溃疡、巨大溃疡(直径>2 cm)发生率依次为45%、22.5%、15%,非老年组依次为8%、70%、2%(P<0.05)。老年组出血量1000 ml以上分别为15%,中重度贫血62.5%,非老年组依次为0、40%(P<0.05)。结论老年组典型上腹痛少、无症状伴随疾病多,高位溃疡巨大溃疡多、异型增生多,大出血、中重度贫血多见,临床治疗难度大。Aim To explore the clinical, endoscopic and pathological characteristics of geriatric peptic ulcer bleeding. Method Cases were divided into non-geriatric group（ 〈 60 years old ） and geriatric group （ 〉 60 years old）. Clinical, endoscopic and pathological charaeteristics of peptic ulcer bleeding of non-geriatric group and geriatric group were compared and analyzed. Results Typical upper abdominal pain,no symptom and rate of accompanied diseases were 10% , 55% and 47.5% respectively in geriatric group, while these were 44% ,20% and 24% respectively in non-geriatric group （P 〈 0.05 ）. Incidence of top gastric ulcer, duodenal ulcer and huge ulcer（ diameter 〉 2 era） were 45% ,22.5% and 15% respectively in geriatric group ,while these were 8% ,70% and 2% in non-geriatric group（ P 〈 0. 05 ）. Bleeding amount more than 1000 ml was 15% and moderate to severe anemia occupied 62.5% in geriatric group,while these were 0 amd 40% in non-geriatric group （ P 〈 0.05 ）. Conclusion Characteristics of patients with peptic ulcer bleeding in geriatric group are less typical abdominal pain no symptoms, high rate of accompanied diseases, high incidence of top gastric ulcer, more dysplasia,more large amount of bleeding, more moderate to severe anaemia, and difficulty in clinical treatment.

关 键 词：老年人消化性溃疡出血 伴随疾病 内镜 

分 类 号：R573.1[医药卫生—消化系统] R563.1[医药卫生—内科学]