216例老年人上消化道出血的病因分析

摘要

Objective To investigate the etiology and related risk factors of upper gastrointestinal bleeding in elderly .Method The authors selected 216 patients who suffered from senile upper gastroin-testinal hemorrhage and analyzed the etiology and related risk factors retrospectively and systematically . Results 107patientssufferedfrompepticulcer(49.54%);45patientssufferedfromtumor ( 20 .83%);32 patients suffered from esophageal gastric varices ( 14 .81%);24 patients suffered from a-cute gastric mucosal lesions (11.11%);8 patients had other reasons (3.71%).Among them, 74 pa-tients with helicobacter pylori ( HP) infection, 102 patients had the medical history of long take aspirin drugs, containing borneol into drugs, nonsteroidal anti-inflammatory drugs, glucocorticoids, etal and 62 patients had serious diseases about heart , lung, liver, kidney and other organs .Conclusion Peptic ul-cer is still the main cause of senile upper gastrointestinal bleeding and gastric ulcer was the most com -mon.The cause of senile upper gastrointestinal bleeding is complicated , the accompanying symptoms are more and the disease is severe .Clearing the cause as soon as possible and effective treatment in time play an important role in reducing further hemorrhage and mortality .%目的：探讨老年人上消化道出血的病因及相关危险因素。方法选择216例老年上消化道出血患者，对其病因及相关危险因素进行回顾性分析。结果消化性溃疡107例，占49．54％；肿瘤45例，占20．83％；食管胃底静脉曲张32例，占14．81％；急性胃黏膜病变24例，占11．11％；其他原因8例，占3．71％。其中有幽门螺旋杆菌（ HP）感染74例，102例长期服用阿司匹林、抗凝剂、含冰片中成药、非甾体类消炎药、糖皮质激素等药物，62例有心、肺、肝、肾等脏器严重疾患。结论老年人上消化道出血的主要原因为消化性溃疡，其中以胃溃疡多见。