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目的 探讨老年人上消化道出血的病因。方法 回顾性总结分析 1992～ 1999年 12 4例老年人上消化道出血的病因及诱因。结果 老年人上消化道出血的主要病因为消化性溃疡 44例 (35 5 % ) ,胃癌 2 7例 (2 1 8% ) ,急性胃粘膜病变 2 4例 (19 4% ) ,肝硬变食管胃底静脉曲张破裂出血 12例 (9 7% ) ,其他 17例(13 6 % )。上消化道出血常见诱因主要为药物及饮酒。结论 消化性溃疡是老年人上消化道出血的主要原因 ,其次为胃癌。
Objective To investigate the etiology of upper gastrointestinal bleeding in the elderly. Methods The causes and causes of upper gastrointestinal bleeding in 124 elderly patients from 1992 to 1999 were retrospectively analyzed. Results The main causes of upper gastrointestinal bleeding in the elderly were peptic ulcer in 44 cases (35.5%), gastric cancer in 27 cases (21.8%), acute gastric mucosal lesions in 24 cases (19.4%), liver cirrhosis esophagus Gastric variceal bleeding in 12 cases (97%), the other 17 cases (13 6%). Common causes of upper gastrointestinal bleeding are drugs and alcohol. Conclusions Peptic ulcer is the main cause of upper gastrointestinal bleeding in the elderly, followed by gastric cancer.