【摘要】 目的探讨58例老年患者消化道出血预后与病因分析。方法选取我院2015年1月至2016年1月收治的58例老年消化道出血患者进行临床预后与病因分析。结果分析患者病因结果显示,非甾体类药物长期使用患者18例,构成比为31.03%;缺血性肠病患者12例,构成比为20.69%;胃、十二指肠溃疡患者10例,构成比为17.24%;肝癌、胃癌患者8例,构成比为13.79%;食管胃底静脉曲张破裂患者6例,构成比为10.4%;其他患者4例,构成比为6.70%。本组显效27例(46.6%),有效25例(43.1%),无效6例(10.3%),总有效率89.7%。结论老年患者消化道出血病因较多,常见的有非甾体类药物长期使用、肿瘤、溃疡、胃炎等,有效的治疗积极防治感染、失血性休克、肝昏迷等并发症可以改善预后。更多还原

【Abstract】 Objective To study the prognosis and etiology of 58 elderly patients with gastrointestinal hemorrhage. Methods A total of 58 elderly patients with gastrointestinal hemorrhage admitted to our hospital from January 2015 to January 2016 were selected for clinical prognosis and pathogeny analysis. Results By analyzing the etiology of the patients, 18 patients with long-term use of non-steroidal drugs were found to have a composition ratio of 31.03%. There were 12 cases of ischemic intestinal diseases, and the proportion was 20.69%.There were 10 cases of gastric and duodenal ulcer, and the proportion was 17.24%. In 8 patients with liver cancer and gastric cancer, the composition ratio was 13.79%. There were 6 cases of esophagogastric variceal rupture with a composition ratio of 10.4%. Four other patients had a constitution ratio of 6.70%. There were 27 cases(46.6%), 25 cases(43.1%), 6 cases(10.3%), and the total effective rate was 89.7%. Conclusion There are many causes of digestive tract hemorrhage in elderly patients, including long-term use of non-steroidal drugs, tumors, ulcers, gastritis, etc., and effective treatment and prevention of infection, hemorrhagic shock, hepatic coma and other complications can improve the prognosis.更多还原