Bansal S K, Gautam P C, Sahi S P, Basu S K, Lennox J M, Warrington A J
Department of Medicine for the Elderly, Ryhope General Hospital, Sunderland.
Age Ageing. 1987 Sep;16(5):279-84. doi: 10.1093/ageing/16.5.279.
Ninety-two consecutive elderly patients suffering from acute gastrointestinal bleeding were studied over a 3-year period. All were admitted to a specially designated Geriatric/Surgical Ward under the care of consultant physicians in geriatric medicine. The nurses were trained to look after acute surgical and geriatric patients. Patients were aged between 65 and 93 years. All were managed jointly by the surgeons and physicians. Only 13 needed emergency surgery which was preceded by urgent endoscopy. The rest were managed conservatively with intravenous cimetidine and blood transfusions as required. The overall mortality was low at 5.4%. It is concluded that in a series of elderly patients with acute gastrointestinal bleeding the mortality was not high in a unit where the management was conservative and there was joint care between geriatricians and surgeons.
在3年时间里，对92例连续的老年急性胃肠道出血患者进行了研究。所有患者均入住专门指定的老年/外科病房，由老年医学顾问医师负责照料。护士们接受过照顾急性外科和老年患者的培训。患者年龄在65岁至93岁之间。所有患者均由外科医生和内科医生共同管理。只有13例需要急诊手术，术前进行了紧急内镜检查。其余患者根据需要采用静脉注射西咪替丁和输血进行保守治疗。总体死亡率较低，为5.4%。结论是，在一系列老年急性胃肠道出血患者中，在一个采用保守治疗且老年科医生和外科医生联合护理的科室，死亡率并不高。
