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老年性消化性溃疡的特征与治疗
http://www.100md.com 2008年5月1日 《中国实用医药》 2008年第9期
     【摘要】 目的 探讨老年性消化性溃疡的临床特点。方法 回顾性分析60例老年性消化性溃疡的临床资料。结果 老年性消化性溃疡诱发因素中,不良生活习惯占33.3%,服用非甾体类抗炎药物占30%;发病部位胃溃疡占45%,十二指肠球部溃疡占38.3%;并发症上消化道出血占43.3%。结论 除幽门螺杆菌感染外,不良生活习惯和服用非甾体类抗炎药物是老年性消化性溃疡的常见诱发因素;老年人胃溃疡的患病率较高,临床表现不典型,并发症以出血多见,合并症多且严重,死亡率较高。

    【关键词】 老年性消化性溃疡(PUA);特征;治疗

    Clinical analysis of 60 cases with peptic ulcer in elderly

    HE Jian-qin.Department ofDigestive of Shenzhen the Fourth Hospital,Guangdong 518033,China

    【Abstract】 Objective To analyze clinical characteristics of peptic ulcer in elderly(PUA).Methods We analyzed Retrospectively clinical data of 60 cases of PUA.Results Of the causative factors of PUA,bad life habit occupied 33.3%,NSAIDs 30.0%;in the site of PUA,gastric ulcer occupied 45.0%,duodenal ulcer 38.3%; complication of PUA,upper gastrointestinal bleeding occupied 43.3%.Conclusion Besides Helicibacter pylori/infection,bad living habit and NSAIDs-taken were common causative factors of PUA; the morbidity of gastric ulcer in aged-people was high; the clinical situation of PUA isn’t typical and bleeding is the most common complication in PUA and severity complications is more often and is high. ......

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