摘要
目的探讨老年消化性溃疡的临床特点。方法回顾分析消化性溃疡患者的临床资料。结果共检测出消化性溃疡患者143例,老年组81例,胃溃疡43例,十二指肠球部溃疡31例,复合溃疡7例;中青年组62例,胃溃疡17例,十二指肠球部溃疡41例,复合溃疡4例。老年组胃体溃疡占胃溃疡的39.5%,直径>2 cm的溃疡占30.2%,并发症以上消化道出血为主,占40.7%,均较中青年组有显著性差异(P<0.01)。结论老年消化性溃疡症状不典型,溃疡部位由幽门向贲门推移,且胃溃疡比十二指肠球部溃疡多,溃疡面积较大,合并症多且较严重。
Objective To analyze clinical characteristics of senile peptic ulcer. Methods Patients with peptic ulcer confirmed by gastroscopy were retrospectively analyzed. Results 143 patients with peptic ulcer were detected. There were 81 peptic ulcer cases, including 43 eases of gastric ulcer, 31 cases of duodenal ulcer and 7 cases of complex ulcer in the aged group, and 62 peptic ulcer cases 〈60 years old, including 17 cases of gastric ulcer, 41 cases of duodenal ulcer, and 4 cases of complex ulcer. Significant difference was detected between the two groups （P〈 0.01）. For senile gastric ulcer, gastric body ulcer was the dominant, accounting for 39.5%, D〉2 cm was 30.2%. Upper gastrointestinal hemorrhage was the most common complication, accounting for 40. 7%. Conclusion Symptoms of senile peptic ulcer are not typical The incidence rate of superior position is higher.
出处
《西部医学》
2010年第5期831-832,834,共3页
Medical Journal of West China
关键词
消化性溃疡
老年
临床分析
Peptic ulcer
Elderly
Clinical analysis
