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目的探讨老年人上消化道出血的临床及内镜特点。方法对我院2009年至2011年90例老年人上消化道出血患者临床表现、内镜检查结果进行回顾性分析。结果老年人上消化道出血以呕血或黑便为首发症状多见,病因依次为胃癌(44.4%)、消化性溃疡(42.2%)食管静脉曲张破裂(13.3%)。结论老年人上消化道出血的临床表现与病变位置及性质有关。
Objective To investigate the clinical and endoscopic features of upper gastrointestinal bleeding in the elderly. Methods The clinical manifestations and endoscopic findings of 90 elderly patients with upper gastrointestinal bleeding from 2009 to 2011 in our hospital were analyzed retrospectively. Results Upper gastrointestinal bleeding in elderly patients with hematemesis or melena as the first symptom more common causes of gastric cancer (44.4%), peptic ulcer (42.2%) esophageal varices (13.3%). Conclusion The clinical manifestations of upper gastrointestinal bleeding in the elderly are related to the location and nature of the lesion.