The analysis of 107 geriatric upper gastrointestinal bleeding Clinical features

LIU Fang; et al

doi:10.13406/j.cnki.cyxb.2005.06.044

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The analysis of 107 geriatric upper gastrointestinal bleeding Clinical features

更新时间：2024-01-17

- The analysis of 107 geriatric upper gastrointestinal bleeding Clinical features
- Journal of Chongqing Medical University Issue 6, Pages: 919-921(2005)
- 作者机构：
  
  1. 四川内江医科学校
  2. 四川内江医科学校,四川,内江,641100
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.06.044
  CLC： R573.2
- Published：2005，
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[1]刘芳,徐玲素,彭杰.107例老年人上消化道出血临床特征分析[J].重庆医科大学学报,2005(06):919-921.

LIU Fang, et al. The analysis of 107 geriatric upper gastrointestinal bleeding Clinical features. [J]. Journal of Chongqing Medical University (6):919-921(2005)
[1]刘芳,徐玲素,彭杰.107例老年人上消化道出血临床特征分析[J].重庆医科大学学报,2005(06):919-921. DOI： 10.13406/j.cnki.cyxb.2005.06.044.

LIU Fang, et al. The analysis of 107 geriatric upper gastrointestinal bleeding Clinical features. [J]. Journal of Chongqing Medical University (6):919-921(2005) DOI： 10.13406/j.cnki.cyxb.2005.06.044.

摘要

目的总结老年人上消化道出血的临床特征。方法回顾性分析经胃镜、手术确诊的107例老年人上消化道出血的临床资料

并与136例同期非老年病人进行比较。结果老年人上消化道出血第一位病因是消化性溃疡（34．58％）

胃癌引起的出血也较常见（18．69％）;28．03％无典型消化道症状

再次出血（64．48％）、多次出血（21．50％）与重度出血（28．04％）多见

25．23％出血时间>1周

死亡率13．08％

27．10％初诊出现误诊

与非老年人相比

P<0．05。结论老年人上消化道出血患者首先考虑消化性溃疡

同时警惕胃癌的存在;详细询问病史

全面体格检查

常规进行大使隐血试验

早做胃镜明确诊断;慎用非自体抗炎药

及时诊治合并症。

Abstract

Objective To analyze the characteristics of upper gastrointestinal bleeding in geriatrics

Methods To analyze retrospectively the clinical data of 107 geriatric upper gastrointestinal bleeding confirmed by gastroscope or operation and another 136 non - geriatric upper gastrointestinal bleeding cases were compared. Results The most common reason of upper gastrointestinal bleeding in geriatrics is peptic ulcer(34. 58% ) .followed by gastric cancer with 18. 69%. 28. 03% of bleeding did not have typical clinical manifestation. The rates of re - bleeding

multi - bleeding and heavy bleeding were 64. 48%

21. 5% and 2804%

respectively. The bleeding time more than one week occurred in 25. 23% of the patients

bleeding mortality was 13. 08% . 27. 10% of patients were misdiagnosis at primary visit

which had statistical difference comparing with non - geriatric patients

P<0. 05. Conclusions The major reasons of upper gastrointestinal bleeding in geriatrics to collect patient history in detail

conduct physical examination fully and take route stool occult blood test. The early gastroscope examination should be conducted as soon as possible.

关键词

消化道出血临床特征老年人

Keywords

Upper gastrointestinal bleedingclinical featuresGeriatrics

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