老老年消化道出血临床特征分析

老老年消化道出血临床特征分析

虎月燕;瞿秋;吴玲

【期刊名称】《中国医学创新》 【年(卷),期】2013(000)025

【摘要】目的：探讨老老年人（≥75岁）消化道出血的临床特征。方法：回顾性分析57例老老年消化道出血的临床资料，统计分析其临床特征。结果：老老年上消化道出血的原因中消化性溃疡占52%（13/25）；食管胃底静脉曲张破裂出血占20%（5/25）；胃癌占12%（3/25），糜烂性胃十二指肠炎和食管炎各占8%（2/25）。老老年下消化道出血的原因中，结直肠癌占76.2%（16/21），结直肠息肉占19%（4/21）。结论：老老年消化道出血的主要原因是恶性肿瘤，其次是消化性溃疡、食管胃底静脉曲张破裂出血。%Objective:To examine clinical profiles of gastrointestinal bleeding in the very elderly.Method:A retrospective analysis was conducted in 57 patients over 75 years old hospitalized for gastrointestinal bleeding.Result:The main causes of upper gastrointestinal bleeding were

peptic

ulcer

(52%,13/25),gastroesophageal

varices(20%,5/25),gastric carcinoma(12%,3/25),gastroduodenal mucosal erosion and esophagitis(8%, 2/25). Conclusion:Gastrointestinal bleeding in the very elderly is mostly caused by carcinoma in the digestive tract,followed by peptic ulcer and gastroesophageal varices. 【总页数】3页(22-23,24)

【关键词】老老年消化道出血;回顾性分析