老年人急性下消化道出血的相关诊治研究  

Value of urgent colonoscopy in acute lower gastrointestinal bleeding of elderly patients

作　　者：赵曲川[1] 张玫[1] ZHAO Qu-chuan ZHANG Mei(Department of Gastroenterology, Xuanwu Hospital, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院消化科,北京100053

出　　处：《中国中西医结合消化杂志》2016年第12期942-944,948,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：[目的]探讨老年人急性下消化道出血的病因及诊治。[方法]对277例行急诊结肠镜检查的急性下消化道出血老年患者的内镜资料进行分析,比较内镜下止血的效果。以同期非老年急性下消化道出血患者201例作为对照组。[结果]老年人急性下消化道出血的前4位病因分别为:大肠癌、大肠息肉、缺血性结肠炎、血管性病变。急诊结肠镜内镜下止血成功率为80.31%。[结论]老年人下消化道出血的诊断和治疗的首选方法是急诊结肠镜,它既能直接明确出血部位,活检做病因学诊断,又能在结肠镜下采取安全、有效、及时的止血治疗。[Objective]To explore the value of urgent colonoscopy in acute lower gastrointestinal bleeding（ALGB）of elderly patients.[Methods]The data of 277 elderly patients with ALGB undergoing urgent colonoscopy were analyzed.To estimate the operation effect of endoscopic hemostasis in ALGB.201 patients with senile acute lower gastrointestinal bleeding were selected as control group in the same period.[Results]Urgent colonoscopy examination was performed with high success and safety rates.There were four causes mainly in ALGB of elderly patients,which were：colorectal cancer,colorectal polyps,ischemic colitis and vascular lesions.The success rate of endoscopic hemostasis of urgent colonoscopy was 80.31%.[Conclusion]It is suggested that the urgent colonoscopy can improve diagnose success rate of ALGB of elderly patients and provide histopathologic diagnosis.It also can provide the reliable evidence for endoscopic hemostasis for ALGB of elderly patients.

关 键 词：老年人 急性下消化道出血 急诊结肠镜 诊断 治疗 

分 类 号：R57[医药卫生—消化系统]