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目的探讨老年人上消化道出血的临床特点。方法对我院同期两年间收治的上消化道出血确诊病例399例,其中老年组(A组60～85岁)149例及非老年组(B组15～59岁)250例的临床资料进行回顾性总结比较分析。结果 A组呕血率、伴随疾病率分别为21.5%、48.3%,与B组相比差异均非常显著(P<0.01)。病因方面,不论A组和B组,消化性溃疡仍然是上消化道出血的首要原因,其中A组胃溃疡(GU)与十二指肠溃疡(DU)发病无显著差异(P>0.05),而B组DU明显多于GU,差异非常显著(P<0.01)。结论老年人上消化道出血呕血发生率高,相关上腹痛、反酸和腹胀症状发生率低,伴随疾病多。
Objective To investigate the clinical features of upper gastrointestinal bleeding in the elderly. Methods A total of 399 confirmed cases of upper gastrointestinal hemorrhage admitted in our hospital over the past two years were reviewed. The clinical data of 149 elderly patients (A group, 60-85 years old) and 250 non-elderly patients (B group, 15-59 years old) were reviewed Sexual summary comparative analysis. Results The hematemesis rate and accompanying disease rate in group A were 21.5% and 48.3%, respectively, which were significantly different from those in group B (P <0.01). In terms of etiology, peptic ulcer was the leading cause of upper gastrointestinal hemorrhage in both groups A and B. There was no significant difference in the incidence of gastric ulcer (GU) and duodenal ulcer (DU) between group A and group B (P> 0.05) The DU group was significantly more than the GU group, the difference was significant (P <0.01). Conclusion The incidence of upper gastrointestinal hemorrhage hematemesis in the elderly is high. The incidence of upper abdominal pain, acid reflux and bloating symptoms is low with many diseases.