Farrell J J, Friedman L S
Gastrointestinal Unit, Massachusetts General Hospital, Boston, USA.
Gastroenterol Clin North Am. 2000 Mar;29(1):1-36, v. doi: 10.1016/s0889-8553(05)70106-0.
Aging is associated with an increased rate of comorbidity, greater medication use, and atypical clinical presentations. The aging of the population makes the evaluation and management of gastrointestinal bleeding in older people a special and increasingly common clinical challenge. The unique features and common causes of upper and lower gastrointestinal bleeding in older people are reviewed. Important management issues considered include hemodynamic resuscitation, anticoagulation, and endoscopic and surgical therapy.
衰老与合并症发生率增加、用药增多以及非典型临床表现相关。人口老龄化使得老年人胃肠道出血的评估和管理成为一项特殊且日益常见的临床挑战。本文综述了老年人上、下消化道出血的独特特征和常见病因。所考虑的重要管理问题包括血流动力学复苏、抗凝以及内镜和手术治疗。
