老年与青年患者上消化道出血的临床分析研究

Clinical analysis on old and young patients with upper gastrointestinal bleeding

目的探讨老年与青年患者上消化道出血的临床特征。方法回顾性分析2007年3月～2010年3月在我科住院救治的148例上消化道出血并经胃镜或CT检查的临床病历资料。结果老年与青年组上消化道出血均有明显的诱因,两组患者都存在饮食不当的病史,40.54%的老人有非甾体类药物史,而60.81%青年人有酗酒史;两组患者的临床表现差异无统计学意义;老年组上消化道出血以胃溃疡占首位(50.00%),其次是胃癌(13.51%);青年组以十二指肠溃疡多见(52.70%),其次是胃粘膜病变(28.38%);老年组患者常合并基础疾病高血压、冠心病、肝硬化分别为52.7%、28.38%、13.51%,86.49%有并发症。结论老年患者与青年患者上消化道出血的发病诱因、出血原因以及伴发疾病等均有各自的特点;消化性溃疡是不同年龄组上消化道出血的主要原因。

Objective To study the clinical characteristics of upper gastrointestinal hemorrhage on old and young patients.Methods We evaluated the records of 148 patients who presented to our hospital with upper gastrointestinal bleeding between March 2007 and March 2010,All cases of upper gastrointestinal hemorrhage were undergone emergent gastroscopic examination and CT imaging.Results There were significant incentives on old and young groups with a history of improper diet,There were 40.54% of the elder patients with non-steroidal drug history,and 60.81% of young patients with history of alcohol abuse.The clinical manifestations of the two groups were not significantly different;50 percent of elderly patients with gastric ulcers,and 13.51 percent of patients with stomach cancer,52.70% of patients were duodenal ulcer in young group,followed by 28.38% of gastric mucosal lesions;Elderly patients is often associated with basic diseases of hypertension,coronary heart disease,liver cirrhosis by 52.7%,28.38%,13.51% and 86.49%.Conclusion Elderly group and young group with predisposing factors for upper gastrointestinal bleeding,associated with incentives,causes of bleeding,and concomitant diseases;Peptic ulcer in different age groups is the main reason for upper gastrointestinal bleeding.