86例老年人上消化道出血诊治探索  

Study of diagnosis and therapy on the upper gastrointestinal bleeding in the elderly

作　　者：张蕾蕾[1] 庄小静[1] 

机构地区：[1]海南省人民医院急救中心,海口570311

出　　处：《海南医学》2002年第3期7-8,共2页Hainan Medical Journal

摘　　要：目的　探讨老年人上消化道出血的临床特点。方法　对 86例老年人上消化道出血患者的病因、临床表现、治疗及愈后进行分析。结果　老年人上消化道出血的病因依次为消化性溃疡 (4 8.9% )、食道静脉曲张 (2 0 .9% )、胃癌 (14 .0 % )、胃粘膜病变 (14 .0 % ) ,以及十二指肠憩室 (2 .3 % )。老年人上消化道出血的特点 (1)无症状黑便为首发者占相关比例 :(2 )消化性溃疡以胃溃疡多见 ,部位以胃体部为主 ;(3 )解热镇痛药是重要原因之一。结论　老年人上消化道出血是老年疾病的急重症 ,积极的内科治疗和及时手术 。Objective: To study the clinical characters of the upper gastrointestinal bleeding in the elderly.Methods:The etiology,clinical presentations,therapy and prognosis of 86 cases on the upper gastrintestinal bleeding in the elderly were analysed.Results: The etiology of the upper gastrointestinal bleeding in the elderly are peptic ulcers(48.9%),and duodenal diverticular(2.3%).The characters on the upper gastrointestinal bleeding in the elderly were(1) asymptomatic melena as first symptom have relatively highter proportion;(2)The gastric ulcer were more than duodenal ulcer.The lesion located stomach body was usually;(3)The non-steroidal anti-inflammatory drugs(NSAIDs) or aspirin is risk factor of potential sources of the bleeding.Conclusions:The upper gastrointestial bleeding is an emergency in the elderly.Active medical therapy and timely surgery can control bleeding for most patients..

关 键 词：上消化道出血 老年人 诊断 治疗 病因 

分 类 号：R573.2[医药卫生—消化系统]