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目的观察分析急性老年人上消化道出血的临床特点及预后。方法选取医院收治的老年急性上消化道出血患者190例作为试验组,以及非老年急性上消化道出血患者150例作为对照组,并将2组患者的上消化道出血的临床表现、出血诱因以及预后观察情况加以比较。结果造成急性上消化道出血的病因中,试验组患者患病率明显高于对照组的出血病因是急性胃黏膜病变、胃癌以及胃溃疡;而十二指肠球部溃疡患病率则试验组较对照组明显低(P<0.05);试验组老年患者并发病发生率、病死率明显高于对照组,差异有统计学意义(P<0.05)结论老年患者的上消化道出血在临床表现、出血诱因以及预后观察上有着显著的特点,应掌握其特点并加以干预,阻止病情恶化,降低病死率,值得临床推广。
Objective To observe and analyze the clinical features and prognosis of upper gastrointestinal bleeding in the elderly. Methods Totally 190 elderly patients with acute upper gastrointestinal bleeding were selected as the experimental group and 150 non-elderly patients with acute upper gastrointestinal hemorrhage as the control group. The clinical manifestations, bleeding inducement, Prognosis of the situation to be compared. The results of the cause of acute upper gastrointestinal bleeding, the prevalence of patients in the experimental group was significantly higher than the control group of bleeding causes of acute gastric mucosal lesions, gastric cancer and gastric ulcer; and the prevalence of duodenal ulcer in the test group (P <0.05). The incidence of morbidity and mortality in the elderly patients in the experimental group were significantly higher than those in the control group (P <0.05) .Conclusion The incidence of upper gastrointestinal bleeding in elderly patients is higher than that of the control group Bleeding incentives and prognosis of the observation has a distinct characteristic, should grasp its characteristics and to intervene to prevent the disease progression, reduce mortality, it is worth clinical promotion.