摘要
目的探讨应激性溃疡(SU)的发生机制、临床表现及预后。方法回顾性分析20例SU的临床资料。结果 SU在内科急症中以脑血管病最常见,男性多于女性,SU症状可作为首发症状。20例中有5例死亡,15例生存并好转。结论当SU症状作为首发症状,而原发疾病症状不明显时,容易疏忽原发疾病—应激相关疾病的诊断。当SU出现上消化道大出血或诱发加重多脏器功能衰竭(MODS)时,患者死亡率高。
Objective To explore the pathogenesis,clinical characteristics and prognosis of stress ulcer.Methods Clinical data of 20 cases of stress ulcer were retrospectively analyzed.Results Stress ulcer is a common cerebrovascular disease in internal medicine emergency treatment,with males exceeding females.Sometimes stress ulcer may be initial symptoms.Of the 20 cases,5 died.The remaining 15 cases survived and turned for the better.Conclusion When symptoms of stress ulcer act as initial symptoms and symptoms of the primary affection is inconspicuous,we tend to be remiss of diagnoses of the primary affection / stress correlative affection.The death rate is lofty when stress ulcer comes with serious upper gastrointestinal tract bleeding or induces MODS.
出处
《淮海医药》
CAS
2011年第3期217-218,共2页
Journal of Huaihai Medicine
关键词
应激性溃疡
原发疾病
预后
Stress ulcer
Primary affection
Prognosis
