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目的探讨老年人上消化道出血的病因及临床特点,总结诊治经验方法。方法对431例大于60岁的老年人出血病因,伴随疾病,诊治经过进行分析。结果十二指肠溃疡147例,胃溃疡128例,糜烂性胃炎29例,食道癌26例,胃癌25例,吻合口溃疡26例,食管溃疡24例,食道胃底静脉曲张14例,贲门癌9例,贲门黏膜撕裂症6例。结论老年人消化道出血不能以症状体征作为依据,应尽早行胃镜检查。
Objective To investigate the etiology and clinical features of upper gastrointestinal bleeding in the elderly and to summarize the experience of diagnosis and treatment. Methods 431 cases of elderly people over the age of 60 cause of bleeding, with the disease, diagnosis and treatment after the analysis. Results 147 cases of duodenal ulcer, 128 cases of gastric ulcer, 29 cases of erosive gastritis, 26 cases of esophageal cancer, 25 cases of gastric cancer, 26 cases of anastomotic ulcer, 24 cases of esophageal ulcer, esophageal and gastric varices in 14 cases, cardiac cancer 9 cases, cardial mucosal tear in 6 cases. Conclusion The elderly gastrointestinal bleeding can not be based on symptoms and signs, as early as possible gastroscopy.