老年人上消化道出血的临床分析  

Clinical analysis of upper gastrointestinal bleeding in elderly patients

作　　者：林晓斌[1] 王钦加[1] 郑丹芸[1] 

机构地区：[1]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《中外医学研究》2011年第30期2-4,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨老年人上消化道出血的临床特点。方法回顾性分析笔者所在医院2008年1月～2010年12月间收治的老年人上消化道出血156例的临床资料,并与同期中青年上消化道出血403例病例比较。结果老年人上消化道出血的病因中,胃溃疡(33.33%)最多见,其次为十二指肠溃疡(21.15%)和胃癌(16.03%);而中青年组上消化道出血的病因中,十二指肠溃疡(44.17%)最多见,其次为胃溃疡(14.89%)和食管静脉曲张(14.14%);两组病例比较差异具有统计学意义。老年人上消化道出血伴随疾病(47.44%)、并发症(22.44%)、再出血率(14.74%)和死亡率(10.90%)显著高于中青年组。结论老年人上消化道出血以胃溃疡及胃癌的发生率高,伴随疾病及并发症多,再出血率及死亡率高。Objective To investigate the clinical features of upper gastrointestinal bleeding in elderly patients.Methods The clinical features of 156 elderly patients with upper gastrointestinal bleeding treated from January 2008 to December 2010 were retrospectively analyzed and compared with that of 403 younger cases during the same time.Results The main cause of upper gastrointestinal bleeding in elderly patients was gastric ulcer（33.33%）,duodenal ulcer（21.15%） and gastric cancer（16.03%）,while the main cause in younger patients was duodenal ulcer（44.17%）,gastric ulcer（14.89%） and esophageal varices bleeding（14.14%）.There was significant difference in two groups.They had more underlying diseases（47.44%） and complications （22.44%）,more bleeding recurrences（14.74%） and higher mortality（10.90%） in elderly patients then that in younger patients.Conclusion In elderly patients,the bleeding rate of gastric ulcer and gastric cancer were higher.They had more underlying diseases and complications,more bleeding recurrences and higher mortality.

关 键 词：上消化道出血 老年人 

分 类 号：R573.2[医药卫生—消化系统]