摘要
目的：探讨重型颅脑损伤后上消化道出血的发病因素及预防措施．方法：回顾性分析本科５年间收治的重型颅脑损伤患者１６９例，其中并发上消化道出血２２例（１３％）．结果：伤后有代谢性酸中毒、低氧血症、低血压、高血糖者，上消化道出血发生率明显增加，采用雷尼替丁等治疗对上消化道出血并无预防作用．结论：对重型颅脑损伤后上消化道出血的预防。
Aim:Tostudypathogenicelementsandpreventivemethodsonuppergastrointestinalbleeding(UGB)afterseverecraniocerebralinjury(SCI).Methods:Onehundredandsixty-ninepatientswithSCIadmitedtoourde-partmentduringthelast5yearswereretrospectivelyanalyzed,and22patientsfolowedbyUGB.Results:TheincidenceofUGBwassignificantlyincreasedinthepatientswithmetabolicacidosis,hypoxemia,hypotensionorhyperglycemiafolowingheadtrauma.TherewasnoefectwithcimetidineonpreventionofUGB.Conclusion:Thetreatmentofpri-marybraininjuryandsecondarypathophysiologicchangesatearlystageareveryimportantinpreventionofUGBfolow-ingSCI.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1996年第6期375-377,共3页
Chinese Journal of Trauma
关键词
颅脑损伤
上消化道出血
高危因素
SeverecraniocerebralinjuryUppergastrointestinalbleedingHighriskelements
