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目的探讨上消化道出血的临床特征及发病特点。方法将2008年6月～2010年1月210例上消化道出血病例分为老年组及非老年组进行回顾性分析。结果非老年组患者出血原因主要包括消化性溃疡、急性糜烂性出血性胃病、食管冒底静脉曲张破裂等;而老年组患者出血原因主要包括急性糜烂出血性胃病、食管胃底静脉曲张破裂、胃癌等。非老年组消化性溃疡发生率(65%)显著高于老年组(40.90%)。结论上消化道出血的常见病因包括消化性溃疡、急性糜烂出血性胃病、食管胃底静脉曲张破裂出血和胃癌,消化性溃疡多见于非老年组。
Objective To investigate the clinical features and incidence of upper gastrointestinal bleeding. Methods 210 cases of upper gastrointestinal bleeding from June 2008 to January 2010 were divided into the elderly group and the non-elderly group for retrospective analysis. Results The main causes of hemorrhage in non-elderly group were peptic ulcer, acute erosive hemorrhagic gastropathy and esophageal varicose veins, while the causes of hemorrhage in the elderly group included acute erosive hemorrhagic gastropathy, esophageal varices, gastric cancer Wait. The incidence of peptic ulcer in non-elderly group (65%) was significantly higher than that in the elderly group (40.90%). Conclusions The common causes of upper gastrointestinal bleeding include peptic ulcer, acute erosive hemorrhagic gastropathy, esophageal variceal bleeding and gastric cancer, peptic ulcer more common in non-elderly group.