摘要
目的分析高龄溃疡病的临床特点。方法回顾性分析1991～2004年我院收治的324例60岁以上胃十二指肠溃疡患者的临床症状、并发症及治疗方法。结果324例患者中有典型腹痛症状者114例,占35%;症状不典型或无症状者210例,占65%;主要并发症为出血(128例,占39%);手术治疗264例,内科保守治疗60例;治愈320例,死亡4例。结论高龄溃疡病的临床症状多不典型,易合并溃疡出血,在确定手术治疗时可不受年龄的限制,特别是对并发症的处理,手术仍是首选。
Objective To analyze the clinical characteristics of senility ulcer. Methods The symptom, complication and medical method were analyzed retrospectively in 324 patients with gastroduodenal ulcer, who were over 60 in our hospital from 1991 to 2004. Results Among 324 patients, 114 （35%） had stomachache symptom, 210 （65%） had atypical symptom or had no symptom. The main complication was hemorrhage （ 128, 39% ）. 264 were treated by operation, 60 cases were treated by medical conservative method. 320 cases were cured, 4 cases were dead. Conclusion Most clinical symptoms of senility ulcer are not typical, they are easily combined with ulcer hemorrhage. When the operation was determined, the age is not restricted, especially for patients with complication, the operation was the first choice.
出处
《中国全科医学》
CAS
CSCD
2006年第20期1719-1720,共2页
Chinese General Practice
关键词
消化性溃疡病
高龄
临床特点
Peptic ulcer
Aged
Clinical characteristics
