摘要
目的探讨老年上消化道出血的病因及治疗特点。方法对2008年1月~2010年1月我院收治的老年上消化道出血病例进行分析。结果胃溃疡出血26例（占43%）,十二指肠球部溃疡出血8例（占13%）,胃癌出血10例（占16%）,食管静脉曲张破裂出血11例（占18%）,Mallory-Weiss综合征2例（占3%）,胆道出血1例（占1%）。50例经内科药物治疗止血,8例内镜下止血,2例外科手术止血,死亡2例。结论老年上消化道出血以消化性溃疡多见,胃癌及食管静脉曲张破裂出血亦较常见。治疗以内科综合治疗为主,止血困难时可考虑内镜下止血,上述治疗失败后可考虑外科手术。
Objective To explore the cause and characteristics of upper gastrointestinal hemorrhage in senile patients.Methods Clinical data of senile patients with upper gastrointestinal hemorrhage treated in our hospital from January 2008 to January 2010 were retrospectively analyzed.Results There were 26 cases（43%）of gastric ulcer bleeding,8 cases（13%）of duodenal bulb ulcer bleeding,10 cases（16%）of gastric cancer bleeding,11 cases（18%）of esophageal variceal bleeding,2 cases（3%）of Mallory-Weiss syndrome,and 1 case（1%）of biliary tract bleeding.Hemorrhage stopped in 50 cases by medication,2 cases by surgery,and 8 cases under endoscope.There were 2 dead cases.Conclusion Peptic ulcer is the predominant cause of upper gastrointestinal hemorrhage in senile patients.Gastric cancer and esophageal variceal bleeding were common as well.Such hemorrhage can stop mainly by comprehensive medical treatment or under endoscope when hemostasis appears difficult.If above measures are failure,surgical hemostasis should be considered.
出处
《西南国防医药》
CAS
2011年第5期496-497,共2页
Medical Journal of National Defending Forces in Southwest China
关键词
上消化道出血
胃溃疡
十二指肠球部溃疡
止血
upper gastrointestinal hemorrhage
gastric ulcer
duodenal bulb ulcer
hemostasis
