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目的探讨老年人上消化道出血的原因。方法分析老年组与非老年组上消化道出血胃镜检查的临床资料。结果消化性溃疡是上消化道出血的主要原因,在老年组和非老年组中分别占65.05%、71.96%;另外,老年组伴有的慢性疾病(冠心病、高血压、脑血管病、慢性阻塞性肺病、慢性肾功能不全、恶性肿瘤、骨关节病)明显多于非老年组。上消化道出血导致的死亡率也较高。结论老年人的慢性疾病一定要积极治疗,预防上消化道出血的发生。
Objective To investigate the causes of upper gastrointestinal bleeding in the elderly. Methods The clinical data of upper gastrointestinal bleeding gastroscopy in elderly group and non-elderly group were analyzed. Results Peptic ulcer was the main cause of upper gastrointestinal bleeding, accounting for 65.05% and 71.96% in the elderly group and the non-elderly group respectively. In addition, chronic diseases associated with the elderly (coronary heart disease, hypertension, cerebrovascular disease, chronic Obstructive pulmonary disease, chronic renal insufficiency, malignant tumors, osteoarthritis) than the non-elderly group. Upper gastrointestinal bleeding mortality is also higher. Conclusion The elderly chronic diseases must be actively treated to prevent the occurrence of upper gastrointestinal bleeding.