Plateau 54 cases of peptic ulcer treatment of the elderly.doc

 PAGE \* MERGEFORMAT 8 Plateau 54 cases of peptic ulcer treatment of the elderly [Keywords:] highland areas, the elderly peptic ulcer Peptic ulcer (peptic ulcer is a common medicine, and in the plateau region (altitudegt; 3000 m as low partial pressure, low oxygen, low temperature and other environmental factors, population and cultural quality of living, lack of medication knowledge and the crowd addicted to drinking habits have led to a higher prevalence of peptic ulcer in the region [1]. especially the elderly because of the incidence of features associated with other chronic diseases will have their special characteristics. now I have been from 2002 to 2007 treatment of 54 patients with peptic ulcer do an analysis discussion. 1 Clinical data 1.1 General Information 34 cases 54 cases of male, female 20 cases, the youngest aged 51 to 78 years, mean 61.8 years, 5 months history of the shortest, the longest 7 years, an average of 3 years. A typical postprandial abdominal pain in 18 cases, no Rule 33 cases of upper abdominal pain, pain radiation to the back and chest in 11 cases, with burning sensation when swallowing in 20 cases, 30 cases with melena. The main symptoms of patients with upper abdominal pain, bloating, back acid eructation, melena , hematemesis. the combination and chronic bronchitis, emphysema, pulmonary heart disease in 11 cases, hypertension in 16 cases, 10 cases of liver cirrhosis, chronic hepatitis, 7 cases. 5 cases of rheumatoid arthritis, diabetes, 1 case of gastric .54 examination revealed: 22 cases of gastric ulcer angle, body of stomach ulcers in 18 cases, five cases of esophageal and gastric cardia ulcer, duodenal ulcer in 10 cases. There hematemesis, melena and other upper gastrointestinal bleeding in 35 cases, perforation in 2 cases, 1 carcinoma cases. 1.2 Treatment 54 cases are the main drug treatment, all patients with benign ulcers to proton pump inhibitors, H2 receptor antagonist and mucosal protective agent,