Old Painless analysis of 86 cases of upper gastrointestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 6 Old Painless analysis of 86 cases of upper gastrointestinal bleeding [Keywords:] of upper gastrointestinal bleeding, painless; elderly Old indolent clinical acute upper gastrointestinal bleeding is not uncommon, and there is a rising trend, if not treated promptly or properly, the high mortality rate. In our hospital from 2000 to 2009 were not admitted in the last 60 years Acute abdominal pain in 86 patients with upper gastrointestinal bleeding, 74 cases were cured, 12 patients died. specific reports as follows. 1 Clinical data 1.1 General Information The group of 86 patients, average age 68 years, of which 64 patients aged 60 to 69, 70 to 79 years in 17 cases, 5 patients aged over 80, male 69 cases, 17 cases of women, men were more than women. Clinical symptoms: this group There were no cases of abdominal pain symptoms in the past, no history of chronic gastritis, hematemesis alone the first time in 18 cases, 51 cases of simple melena, hematemesis and melena in 17 cases, with nausea, belching, nausea, vomiting and other gastrointestinal symptoms 31 cases, completely without gastrointestinal symptoms in 53 cases, 52 patients with dizziness and weakness, of which 6 cases of dizziness and syncope, chest tightness, shortness of breath in 10 patients. 5 cases of coronary heart disease, hypertension in 12 cases, 8 cases of schistosomiasis cirrhosis, cholecystitis in 4 cases, 7 cases of chronic bronchitis, emphysema, rheumatoid arthritis in 6 cases, diabetes mellitus in 3 cases, 1 case of congestive cardiomyopathy, a total of 46 cases, accounting for 53.5%. 1.2 Etiology and diagnosis Mainly to peptic ulcer, a total of 45 cases, accounting for 52.3%, followed by erosive hemorrhagic gastritis, including drug-induced gastritis, 15 cases, accounting for 17.4%, 8 cases of gastric cancer, 5 patients with pathologically confirmed early in situ cancer, 6 cases of esophageal varices, the other 12 cases. The import of electronic end