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一般认为老年人上消化道出血的预后比年青人严重。为此,作者对65岁以下146例静脉曲张出血者的后果与65岁以上老人61例静脉出血者进行了比较。上述所有患者在首次出血入院治疗12小时内进行硬化疗法,继之每3周注射1次,直至形成血栓。然后在1年内每3个月内窥镜检查1次;1年后则每6个月检查一次,这样追踪7年。结果发现病转性肝硬化在65岁以下者多,占47％,而在老人中仅占20％;原因不明性肝硬化则在老人中多见(34％),在65岁以下者中仅占13％。这类病患第一次出血后的死亡率高低与年
It is generally believed that the prognosis of upper gastrointestinal bleeding in the elderly is more serious than in young people. To this end, the authors compared the consequences of 146 varices bleeding in those 65 years of age and 61 venous hemorrhages in those 65 years of age and older. All of the above patients underwent sclerotherapy within 12 hours of the first hospital admission for bleeding and then every 3 weeks until thrombus formation. Then within 1 year every 3 months endoscopy 1; 1 year after every 6 months check, so follow 7 years. The results showed that patients with cirrhosis of the liver more than 65 years of age, accounting for 47%, while only 20% of the elderly; unexplained cirrhosis is more common in the elderly (34%), only 65 years of age Accounting for 13%. The mortality of these patients after the first bleeding is high and low