临床诊治老年上消化道出血80例病因与分析
【摘要】目的：探讨老年性上消化道出血的病因。方法：将80例老年性上消化道出血每5岁为一个年龄段分为A、B、C、D4组，进行比较分析，其中40例通过内窥镜、胃肠道造影、腹部DSA等诊断，部分通过手术证实。结果：本组资料表明老年性上消化道出血的病因是:胃十二指肠溃疡28例(35%)，食管、胃底静脉曲张15例(18.75%)，恶性肿瘤13例(16.25%)，Dieulafoy病11例(13.75%)，药物性胃肠黏膜损伤9例(11.25%)上消化道出血4例(0.5%)等。消化性溃疡、门脉高压所致静脉曲张、恶性肿瘤，男性发病率明显高于女性(P<0.05);而药物性出血，女性明显高于男性(P<0.05)。结论：胃十二指肠溃疡，食管、胃底静脉曲张，恶性肿瘤，Dieulafoy病，胆道感染，药物等是上消化出血的主要原因，年龄、性别、饮食、卫生环境等与病因相关。【关键词】上消化道；出血病因；病因分析
Ageonthediagnosisandtreatmentofgastrointestinalbleedingin80casesthecauseanalysis
【Abstract】ObjectiveToinvestigatetheage-causeofuppergastrointestinalbleeding.Methods80elderlypatientswithuppergastrointestinalbleedingasafive-year-oldagegroupisdividedintoA,B,C,D4group,acomparativeanalysisof40casesbyendoscopy,gastrointestinalimaging,abdominalDSAandotherdiagnostics,partconfirmedbysurgery.ResultsThedatashowthatageisthecauseofuppergastrointestinalbleeding:gastriculcerin28cases(35%),esophagealvaricesin15cases(18.75%),m alignancyin13cases(16.25%),Dieulafoy'sdiseasein11cases(13.75%),drug-inducedgastrointestinalmucosalinjuryin9cases(11.25%),uppergastrointestinalbleedingin4cases(0.5%)andsoon.Pepticulcer,portalhypertensionduetovaricoseveins,cancer,theincidenceofmalethanfemale(P<0.05);anddrug-inducedbleeding,womenhigherthanmen(P<0.05).Conclusiongastricandduodenalulcers,esophagealandgastricvarices,cancer,Dieulafoydisease,biliarytractinfections,drugsareonthemaindigestivebleeding,age,sex,diet,healthandenvironmentassociatedwiththecause. ......
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