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[目的]调查了解高原地区老年人下消化道出血的临床特点,为临床防治提供帮助。[方法]对60例老年人消化道出血患者临床资料进行回顾分析。60例患者中男39例(65%),女21例(35%),男︰女=2︰1;年龄60～91岁,高发年龄63～69岁,占55.7%。病程4d～2年。对照组男36例,女26例,男︰女=3︰2,年龄15～59岁,平均年龄(39+2.9)。[结果]老年人组中,60例消化道出血患者最常见的原因为结肠癌(40%)和慢性结肠炎(33.3%)。中青年常见出血原因是结肠息肉(40%)。[结论]高原地区老年人下消化道出血常见病因为结肠癌和慢性结肠炎症。
[Objective] To investigate the clinical features of lower gastrointestinal bleeding in the elderly in plateau area and provide help for clinical prevention and treatment. [Methods] The clinical data of 60 elderly patients with gastrointestinal bleeding were retrospectively analyzed. There were 39 males (65%) and 21 females (35%) in 60 patients. The age ranged from 60 to 91 years, and the prevalence was 63 to 69 years old (55.7%). Course of 4d ~ 2 years. Control group, 36 males and 26 females, male: female = 3: 2, aged 15 to 59 years, mean age (39 +2.9). [Results] The most common causes of gastrointestinal bleeding in 60 elderly patients were colon cancer (40%) and chronic colitis (33.3%). A common cause of bleeding in young people is colon polyps (40%). [Conclusion] The common causes of lower gastrointestinal bleeding in the elderly in the plateau are colon cancer and chronic colitis.