不同年龄段急性上消化道出血的临床特征比较
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摘要
目的比较老年人与中青年人急性上消化道出血患者的临床资料,探讨老年患者临床特点。方法 2015年1月至2017年12月我院诊治老年急性上消化道出血48例,选择同期48岁以下中青年急性上消化道出血患者作为对照病例,分析两组患者资料比较临床表现全身各系统并存疾病;出血原因;出血相关因素、出血量、治疗及转归。结果老年组并存疾病62.50%、出现循环衰竭25.00%、药物因素诱因20.83%、胃溃疡41.67%、恶性肿瘤18.75%、出血停止时间超过5 d 39.58%高于中青年组的16.67%、4.17%、2.08%、25.00%、2.08%、12.50(P <0.05);上腹痛20.83%、不良生活方式6.25%、十二指肠溃疡16.67%低于中青年组的70.83%、29.17%、41.67(P <0.05)。结论导致老年患者出现上消化道出血的原因具有多样性和复杂性,临床上需要尽早确诊,并针对性的采取有效治疗措施,及时止血,保证患者生命健康安全。
Objective To compare the clinical data of elderly patients with acute upper gastrointestinal bleeding, and to explore the clinical characteristics of the elderly patients. Methods January 2015-December 2017 our hospital diagnosis and treatment of 48 elderly patients with acute upper gastrointestinal hemorrhage, while under the age 48 young and middle-aged acute upper gastrointestinal hemorrhage patients as control cases, analysis of two groups of patients with clinical manifestations of systemic data of coexisting diseases; bleeding; bleeding related factors, the amount of bleeding, treatment and prognosis. Results The elderly group coexisting diseases 62.50%, circulatory failure 25.00%, drug factors appea cause 20.83%, gastric ulcer 41.67%,malignant tumors18.75%, bleeding time more than 5 days 39.58% higher than that in the young group 16.67%, 4.17%, 2.08%, 25%, 2.08%, 12.50,20.83%(P <0.05), upper abdominal 20.83%, pain lifestyle 6.25%, duodenal ulcer 16.67% lower than the young group 70.83%, 29.17%, 41.67(P <0.05).Conclusion The causes of upper gastrointestinal bleeding in elderly patients are varied and complex. Clinically, it is necessary to diagnose as early as possible, and take effective measures to stop bleeding so as to ensure the safety and health of patients.
Objective To compare the clinical data of elderly patients with acute upper gastrointestinal bleeding, and to explore the clinical characteristics of the elderly patients. Methods January 2015-December 2017 our hospital diagnosis and treatment of 48 elderly patients with acute upper gastrointestinal hemorrhage, while under the age 48 young and middle-aged acute upper gastrointestinal hemorrhage patients as control cases, analysis of two groups of patients with clinical manifestations of systemic data of coexisting diseases; bleeding; bleeding related factors, the amount of bleeding, treatment and prognosis. Results The elderly group coexisting diseases 62.50%, circulatory failure 25.00%, drug factors appea cause 20.83%, gastric ulcer 41.67%,malignant tumors18.75%, bleeding time more than 5 days 39.58% higher than that in the young group 16.67%, 4.17%, 2.08%, 25%, 2.08%, 12.50,20.83%(P <0.05), upper abdominal 20.83%, pain lifestyle 6.25%, duodenal ulcer 16.67% lower than the young group 70.83%, 29.17%, 41.67(P <0.05).Conclusion The causes of upper gastrointestinal bleeding in elderly patients are varied and complex. Clinically, it is necessary to diagnose as early as possible, and take effective measures to stop bleeding so as to ensure the safety and health of patients.
引文
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[4]昊文娟,施英瑛,陈晓光,等.老年人和非老年非静脉曲张性上消化道出血的病因和合并症特征比较[J].武警医学,2017,28(4):344-345.
[5]吴燕,厉英超,白鸿远,等.老年人上消化道出血临床特征及病因分析[J].胃肠病学和肝病学杂志,2013,22(8):749-751.
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[7]周林伟.老年人急性上消化道出血病因研究[J].中华老年医学杂志,2016,35(2):198-200.
[8]陈迪青,汤卫锋。老年急性非食管静脉曲张性上消化道出血的临床特征分析[J].当代医学,2017,23(23):82-83.
[9]王锦萍,崔毅,王锦辉.上消化道出血15年临床流行病学变化趋势[J].中华胃肠外科杂志,2017,20(4):425-430.
[2]周连家.联合用药治疗老年消化性溃疡急性上消化道出血效果研究[J].当代医学,2014,20(9):108-109.
[3]蔡洪涌.老年非静脉曲张性上消化道出血急诊特点[J].中国老年学杂志,2014,34(12):3324-3325.
[4]昊文娟,施英瑛,陈晓光,等.老年人和非老年非静脉曲张性上消化道出血的病因和合并症特征比较[J].武警医学,2017,28(4):344-345.
[5]吴燕,厉英超,白鸿远,等.老年人上消化道出血临床特征及病因分析[J].胃肠病学和肝病学杂志,2013,22(8):749-751.
[6]蔡玲,张玫,赵丹丹,等.2056例上消化道出血病因构成及相关因素分析[J].首都医科大学学报,2015,36(6):978-981.
[7]周林伟.老年人急性上消化道出血病因研究[J].中华老年医学杂志,2016,35(2):198-200.
[8]陈迪青,汤卫锋。老年急性非食管静脉曲张性上消化道出血的临床特征分析[J].当代医学,2017,23(23):82-83.
[9]王锦萍,崔毅,王锦辉.上消化道出血15年临床流行病学变化趋势[J].中华胃肠外科杂志,2017,20(4):425-430.