老年患者上消化道出血75例临床分析

Clinical analysis of 75 cases of upper gastrointestinal bleeding in elderly patients

目的对老年患者上消化道出血的原因进行分析,为临床治疗提供依据,确保患者能够早日康复。方法选取我院收治的140例上消化道出血患者,根据患者年龄进行分组,其中年龄≥60岁的患者为老年组,年龄<60岁的患者为中青年组,其中老年组75例,中青年组65例,分析两组患者发病原因。结果老年组患者的临床症状以腹胀、黑便+呕血、失血性休克为多,发病的原因主要为肿瘤疾病、胃癌、急性胃黏膜病变;老年组患者的红细胞计数及血红蛋白指标情况明显低于中青年组。结论肿瘤疾病、胃癌、急性胃黏膜病变是引发老年患者消化道出血的主要因素,同时由于老年患者均合并其他疾病,因此发病后病情均较为严重,应当引起重视。

Objective To analyze the causes of upper gastrointestinal bleeding in the elderly patients, to provide evidence for clinical treatment, and ensure that patients can be recovered as soon as possible. Methods One hundred and forty cases of patients with upper digestive tract hemorrhage admitted in our hospital were selected and divided into two groups according to their ages. Patients in elderly group were more than or equal to 60-year-old, while patients in middle-young group were less than 60-year-old, with 75 cases in the elderly group and 65 cases in the middle-young group. The causes of the disease between the two groups were analyzed. Results Clinical symptoms of patients in elderly group were abdominal distension, melena and hematemesis, mostly blood loss shock, and the causes of disease were mainly cancer, gastric cancer and acute gastric mucosal lesion; erythrocyte count and hemoglobin index in elderly group were significantly lower than that of the middle-young group. Conclusion Cancer, gastric cancer and acute gastric mucosal lesion are main factors to cause gastrointestinal bleeding in elderly patients, and the elderly patients always have other diseases combined with upper gastrointestinal bleeding, so the onset condition was more serious, and it should be paid more attention.