CAJ | 학술논문

目的探讨老年人上消化道出血的临床特点.方法回顾分析我院2006年1月-2007年12月间收治的老年人上消化道出血186例的临床特点,并与同期中青年病例比较.结果老年人上消化道出血仍以消化性溃疡多见(53.76%),但胃溃疡出血发生率增加(32.79%),高于十二指肠溃疡发生率(20.97%),与中青年人以十二指肠溃疡为主有显著差异;胃癌出血发生率显著上升(15.59%),占病因第二位,与中青年人相比差异显著;老年人合并病(47.84%)、并发症(27.41%)、再出血率(19.35%)和死亡率(11.82%)显著高于中青年组.结论老年人上消化道出血仍以消化性溃疡为多见,胃溃疡、胃癌出血发生率增加,并发症多,再出血率和死亡率高.
목적 탐토노년인상소화도출혈적림상특점.방법 회고분석아원2006년1월-2007년12월간수치적노년인상소화도출혈186례적림상특점,병여동기중청년병례비교.결과 노년인상소화도출혈잉이소화성궤양다견(53.76%),단위궤양출혈발생솔증가(32.79%),고우십이지장궤양발생솔(20.97%),여중청년인이십이지장궤양위주유현저차이;위암출혈발생솔현저상승(15.59%),점병인제이위,여중청년인상비차이현저;노년인합병병(47.84%)、병발증(27.41%)、재출혈솔(19.35%)화사망솔(11.82%)현저고우중청년조.결론 노년인상소화도출혈잉이소화성궤양위다견,위궤양、위암출혈발생솔증가,병발증다,재출혈솔화사망솔고.
Objective To investigate the clinical features of upper gastrointestinal hemorrhage in aged patient. Methods The clinical features of 186 aged patients with upper gastrointestinal hemorrhage treated in our hospital from January 2006 to December 2007 were retrospectively analyzed and compared with that of 430 young cases during the same time. Results The main cause of upper gastrointestinal hemorrhage in aged patients was also peptic ulcer (53.7%), and the bleeding rate of gastric ulcer (32.79%) was more than that of duodenal ulcer (20.97%), unlike the young cases have a higher bleeding rate of duodenal ulcer. The second cause of upper gastrointestinal hemorrhage in aged patients was gastric cancer. Conclusion The main canse of upper gastrointestinal hemorrhage in aged patients was peptic ulcer. The bleeding rate of gastric ulcer and gastric cancer increased significantly, and with a higher rate of complication, rehaemorrhagia and mortality.