中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
10期
49-51
,共3页
李君%冯如青%都芳鹃%云晓静
李君%馮如青%都芳鵑%雲曉靜
리군%풍여청%도방견%운효정
老年人%上消化道大量出血%非甾体抗炎药
老年人%上消化道大量齣血%非甾體抗炎藥
노년인%상소화도대량출혈%비치체항염약
The aged%Upper gastrointestinal massive hemorrhage%Non-steroidal anti-inflammatory drugs
目的 探讨老年人急性上消化道大量出血的临床特点及治疗.方法 对本院2005年1月至2007年12月收治的老年人急性上消化道大量出血病例资料进行分析.结果 58例老年人上消化道大出血患者均有出血前用药史,呕血53例,仅黑便5例,消化性溃疡43例,急性糜烂性胃炎5例,胃癌3例,食管癌2例,食管胃底静脉曲张2例,其他3例.仅1例手术后并发肺栓塞死亡,其余均内科综合治疗出血停止后出院.结论 老年人急性上消化道大量出血与非甾体抗炎药有关.以消化性溃疡多见,急性胃黏膜损害及肿瘤亦占相当比例,内科综合治疗效果好,积极预防有望减少出血.
目的 探討老年人急性上消化道大量齣血的臨床特點及治療.方法 對本院2005年1月至2007年12月收治的老年人急性上消化道大量齣血病例資料進行分析.結果 58例老年人上消化道大齣血患者均有齣血前用藥史,嘔血53例,僅黑便5例,消化性潰瘍43例,急性糜爛性胃炎5例,胃癌3例,食管癌2例,食管胃底靜脈麯張2例,其他3例.僅1例手術後併髮肺栓塞死亡,其餘均內科綜閤治療齣血停止後齣院.結論 老年人急性上消化道大量齣血與非甾體抗炎藥有關.以消化性潰瘍多見,急性胃黏膜損害及腫瘤亦佔相噹比例,內科綜閤治療效果好,積極預防有望減少齣血.
목적 탐토노년인급성상소화도대량출혈적림상특점급치료.방법 대본원2005년1월지2007년12월수치적노년인급성상소화도대량출혈병례자료진행분석.결과 58례노년인상소화도대출혈환자균유출혈전용약사,구혈53례,부흑편5례,소화성궤양43례,급성미란성위염5례,위암3례,식관암2례,식관위저정맥곡장2례,기타3례.부1례수술후병발폐전새사망,기여균내과종합치료출혈정지후출원.결론 노년인급성상소화도대량출혈여비치체항염약유관.이소화성궤양다견,급성위점막손해급종류역점상당비례,내과종합치료효과호,적겁예방유망감소출혈.
Objective To explore aged patients with acute upper gastrointestinal massive hemorrhage Clinical features and treatment.Methods From January 2005 to December 2007,the clinical data of aged patients with acute upper gastrointestinal massive hemorrhage in our hospital were analysed.Results 58 cases of aged patients with acute upper gastrointestinal massive hemorrhage were bleeding premedication history,53 cases of hematemesis,melena only 5 cases,43 cases of peptic ulcer,acute erosive gastritis 5 cases,3 cases of gastric cancer,2 cases of esophageal cancer,esophageal 2 cases of gastric varices,and other three cases.Only one cases of pulmonary embolism after surgery complicated by the death,and the rest are internal medicine combined therapy to stop bleeding and discharged.Conclusion Aged patients with acute upper gastrointestinal massive hemorrhage with non-steroidal anti-inflammatory drug related to peptic ulcer often,acute gastric mucosal damage and also accounted for a considerable proportion of the tumor,internal medicine comprehensive treatment,and prevention is expected to reduce bleeding.
