摘要
目的探讨老年急诊急性上消化道出血的临床特征。方法选择40例老年急性上消化道出血患者作为研究对象,随机选择同期中青年急性上消化道出血患者40例作为对照对象,对入选患者的资料进行分析,比较临床资料,临床体征,实验室检查,诊疗过程及转归差异。结果老年组急性上消化道出血患者中存在各种慢性病36例(90.00%)、消化系统临床症状不典型22例(55.00%)、中重度贫血19例(47.50%)、出血原因为胃溃疡22例(55.00%)、急性胃黏膜糜病变10例(25.00%)、应用非甾体类抗炎药12例(30.00%)、出血停止时间(7.56±2.14)d、死亡5例(12.50%),高于中青年组的8例(20.00%)、9例(22.50%)、10例(25.00%)、14例(35.00%)、4例(10.00%)、3例(7.50%)、(4.78±1.99)d、0(0.00%)(P<0.05)。中青年组十二指肠球溃疡16例(40.00%)、其他诱发因素22例(55.00%)高于老年组8例(20.00%)、6例(15.00%)(P<0.05)。结论老年上消化道出血临床表现不典型、病因复杂,多合并有全身性慢性疾病,预后较差,急诊处理中应重视合并症的同步检测和对症治疗,以有效控制出血。
Objective To investigate the clinical characteristics of acute upper gastrointestinal bleeding in elderly patients.Methods40cases elderlypatients with acute upper gastrointestinal hemorrhage patients as the research objects,40patients as the control object of the youth in randomly selected,analyzed and compared with clinical data,clinical symptoms,laboratory examination,diagnosis and treatment process and outcome differences.Results Inthe elderly group of acute upper digestive tract hemorrhage patients,there is a variety of chronic diseases in36cases(90%),digestive system symptoms in22cases(55%),19cases of severe anemia(47.50%),the cause of bleeding for22cases of gastric ulcer(55%),acute gastric mucosal lesions in10cases(25%mi)and application12cases of non steroidal anti-inflammatory drugs(30%),bleeding time(7.56±2.14)days,5cases died(12.50%),which were higherthan those of in the young group8cases(20%),9cases(22.50%),10cases(25%),14cases(35%),4cases(10%),3cases(7.50%),(4.78±1.99)days and0(0%)(P<0.05).In the young group,duodenal ulcer16cases(40%)and other factors22cases(55%)were higher than the old group of8cases(20%),6cases(15%)(P<0.05).Conclusion Bleeding and atypical clinical manifestations,complex etiology of elderly upper gastrointestinal,withchronic systemic disease,the prognosis is poor,should pay attention to the simultaneous detection and symptomatic treatment of complications of emergencytreatment,in order to effectively control the bleeding.
作者
邱琴
QIU Qin(Department of emergency, the branch Affiliated Hospital of Nantong University, Jiangsu 226001, China.)
出处
《中国处方药》
2017年第6期6-7,共2页
Journal of China Prescription Drug
关键词
老年
急性上消化道出血
急诊
Elderly
Acute upper gastrointestinal bleeding
Emergency
