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目的探讨老年消化性溃疡治疗方法及临床疗效。方法回顾性分析2005年6月至2009年2月收治老年消化性溃疡51例患者的临床资料。结果经内科保守治疗或手术治疗后痊愈或有效者45例,无效4例,死亡2例,其中1例因出血难以控制死于失血性休克,1例术后死于感染性休克,总有效率88.2%。结论老年消化性溃疡应早诊断、早治疗,首选内科治疗,适当延长疗程,同时治疗并发症和并存病;对穿孔、难以控制的大出血等应积极手术;对内科治疗疗效差或疑有癌变的患者可选择手术治疗。
Objective To explore the treatment of elderly peptic ulcer and its clinical efficacy. Methods The clinical data of 51 elderly patients with peptic ulcer admitted from June 2005 to February 2009 were retrospectively analyzed. Results After conservative treatment or surgical treatment of 45 cases were cured or effective, 4 cases were ineffective, 2 patients died, of which 1 case died of hemorrhagic hemorrhagic shock is difficult to control, 1 patient died of septic shock, the total effective rate 88.2%. Conclusion elderly peptic ulcer should be early diagnosis and early treatment, the preferred medical treatment, the appropriate extension of treatment, while the treatment of complications and coexisting disease; for perforation, difficult to control bleeding should be actively operated; poor efficacy of medical treatment or suspected cancer Patients can choose surgical treatment.