摘要
目的探讨尿毒症合并上消化道出血的临床特点及治疗。方法对30例尿毒症合并上消化道出血患者的临床资料进行回顾性分析。结果患者胃镜下表现糜烂性出血性胃炎18例(60.0%),十二指肠球部溃疡8例(26.7%),胃溃疡4例(13.3%);综合止血治疗5d后,紧急血液透析组20例中15例(75.0%)出血停止,非紧急血液透析组10例中5例(50.0%)出血停止;最终分别有3例(15.0%),4例(40.0%)死亡。两组治疗5d后止血率及死亡率比较有显著差异(P<0.05)。结论尿毒症合并消化道出血以胃肠粘膜糜烂及十二指肠球部溃疡为主,共24例(86.7%),它的治疗较困难,紧急血液透析可改善预后,降低病死率。
Objective To explore the treatment and clinical characteristic of uremia accompanied by upper gastrointestinal hemorrhage. Methods 30 cases of uremia accompanied by upper gastrointestinal hemorrhage were analyzed retrospectively. Resuits 18 cases（60.0 % ） of rotten and hamorrhage gastritis was diagnose by gastroscopy. 8 cases （ 26.7 % ） of duodenal ampulla was diagnose by gastroscopy. 4 cases （ 13.3% ） ; of gastric ulcer was diagnose by gastroscopy, after 5-day＇ treatment, 15 of 20 cases （ 75.0 % ） who were offered urgent hemodialysis were cured, 5 of 10 cases （ 50 % ） who were offered non-urgent hemodialysis were cured, and 3 of the former （ 15.0%） and 4 of the latter （40.0%） died finally, two groups of the mortality rate and Hemostatic rate had Significance difference after 5-day＇ treatment（P〈 0.05）. Conclusions rotten and hamorrhage gastritis and duodtenal ampulla was the clinical feature of uremia accompanied by upper gastrointestinal hemorrhage. It is very diffical to cure uremia accompanied hy upper gastrointestinal hemorrhage. Urgent hemodialysis can change the prognosis and decrease the mortality.
出处
《实用全科医学》
2006年第4期429-430,共2页
Applied Journal Of General Practice
关键词
尿毒症
上消化道出血
Uremia
Gastrointestinal hemorrhage
