老年上消化道出血210例  

Upper gastrointestinal bleeding in elderly patients:An analysis of 210 cases

作　　者：雷天霞[1] 史美娜[1] 雷晓毅[1] 徐桂华[1] 黄玉林[1] 

机构地区：[1]厦门大学附属第一医院,福建省厦门市361003

出　　处：《世界华人消化杂志》2012年第32期3164-3166,共3页World Chinese Journal of Digestology

摘　　要：目的:总结老年上消化道出血的临床特点.方法:收集我院2010-01/2012-01收治并确诊为上消化道出血的患者432例,其中老年组210例,非老年组222例,比较并分析两组患者的临床资料.结果:老年组患者呕血率与伴随疾病率均高于非老年组,两组差异具有统计学意义(P<0.01).从发病原因来看,无论是老年组还是非老年组,引起上消化道出血最主要的原因均为消化性溃疡,其中老年组患者以胃溃疡多见,而非老年组中以十二指肠溃疡为主,两组间的差异具有统计学意义(P<0.05);老年组中胃癌的发生率明显高于非老年组,而食管静脉曲张的发生率低于非老年组,两组间差异均有统计学意义(P<0.05).结论:非老年上消化道出血患者以十二直肠溃疡和食管静脉曲张多见;老年上消化道出血患者,以胃溃疡和胃癌多见,同时伴有较多的并发症,死亡率较高.AIM：To summarize the clinical features of upper gastrointestinal bleeding in elderly patients.METHODS：The clinical data for 420 patients with upper gastrointestinal bleeding who were treated at our hospital from January 2010 to January 2012 were retrospectively analyzed.These patients were divided into two groups based on their age：elderly patients and young patients.RESULTS：The rates of hematemesis and other diseases were significantly higher in the elderly patient group than in the young patient group（P 0.01）.The major cause of upper gastrointestinal bleeding was peptic ulcer in both elderly and young patient group.The incidence of gastric ulcer and that of duodenal ulcer showed no significant difference in elderly patients（P 0.05）;however,the incidence of gastric ulcer was significantly lower than that of duodenal ulcer in young patients（P 0.01）.CONCLUSION：Upper gastrointestinal bleeding in elderly patients is associated with a higher risk of hematemesis,more complications,and a higher mortality rate.

关 键 词：上消化道出血 胃溃疡 十二指肠溃疡 老年 

分 类 号：R573.2[医药卫生—消化系统]