老年人胃石症36例临床分析  

Retrospective analysis of 36 elderly patients with gastric bezoars

作　　者：刘宝珍[1] 薛春霞[1] 马风博[1] 张学娜[1] 金世禄[1] 

机构地区：[1]山东省滨州市人民医院消化科,256610

出　　处：《中华老年医学杂志》2012年第8期692-693,共2页Chinese Journal of Geriatrics

摘　　要：目的探讨老年人胃石症的临床特点及治疗方法。方法回顾性分析我院2005年6月至2011年5月收治49例胃石症患者的临床特点，其中老年患者36例，采用序贯治疗48例，外科手术治疗I例。结果老年患者在病因、既往病史、临床表现和治疗疗效上与非老年患者之间有较明显的区别，老年患者进食糯米类食品者占41．7％（15／36），有胃手术史者占Ii．1％（4／36），合并糖尿病者16．7％（6／36）；非老年患者进食糯米类食品者仅占7．7％（1／13），无胃手术史及糖尿病患者。序贯治疗的48例患者胃石均消失（100％），外科治疗的1例患者死于肠梗阻并发感染性休克。结论老年胃石症患者与非老年患者有着不同的特点，序贯治疗对老年胃石症患者安全有效。Objective To explore the clinical characteristics and treatment in elderly patients with gastric bezoars. Methods Totally 49 patients with gastric bezoars were retrospectively analyzed, and among them, 36 patients were aged 65 77 years, 48 cases underwent sequential therapy, I elderly patient underwent surgical operation. Results There were differences in etiology, medical histories, clinical manifestations and therapeutic efficacy between elderly and non-elderly patients with gastric bezoars. There were 42%（15/36） of elderly patients eating glutinous rice cakes, 4 cases with gastric surgery histories, 6 cases with diabetes in elderly patients, but in non elderly patients only 8% （1/13） of patients eating glutinous rice cake, and there were no cases with surgery histories and diabetes. Gastric bezoars in 48 cases were cleared away by sequential therapy. 1 elderly patient developed intestinal obstruction after surgical operation and died of infectious shock. Conclusions There are some different characteristics between elderly and nonelderly patients with gastric bezoars. Sequential therapy is safe and effective for elderly patients with gastric bezoars.

关 键 词：胃肠结石 胃镜 

分 类 号：R573.8[医药卫生—消化系统]