摘要
目的探讨上消化道出血（UGIB）并发急性冠状动脉综合征（ACS）的可能原因及有效救治方法。方法回顾性研究某院2008年4月～2013年4月收治的UGIB合并ACS18例患者的临床资料，分析总结该病的临床特点及治疗方法。结果18例患者年龄58～93岁，平均（69．2±10．9）岁，发病以老年男性为主。口服抗血小板药物者15例（83．33％）。严密监护、积极输血、急诊内镜检查及镜下止血治疗是治疗的主要方法，胃镜下止血成功14例（77．80％），病死3例（16．67％）。结论严密监护、积极输血、24h内急诊胃镜检查及镜下止血治疗是UGIB并发ACS救治成功的关键。需要长期口服抗血小板药物的患者，质子泵抑制药可降低消化道出血的发生率，改善预后。
Objective To explore the reason and the effective treatment for upper gastrointestinal bleeding （UGIB） complicated with acute coronary syndrome （ACS）. Methods From April 2008 to April 2013 ,the clinical data of 18 patients presented with UGIB and ACS in our hospital were studied retrospectively. The clinical features and the therapeutic procedures were analyzed. Results The age of the patients was from 58 to 93 years with a mean of 69 years. Antiplatelet medications were taken in 15 patients （83.33%）. The main treatment included intensive care,blood transfusion,emergency endoscopy and endoscopic hemostasis. The num- ber of patients which were successfully endoscopic hemostasis was 16 （87.56%）. Three （16.67%） patients died. Conclusion Inten- sive care, blood transfusion,emergency endoscopy within 24 hours and endoscopic hemostasis were crucial for the treatment of UGIB complicated with ACS. Proton pump inhibitor could reduce the incidence of gastrointestinal bleeding and improved prognosis for pa- tients requiting long-term antiplatelet therapy.
出处
《中华保健医学杂志》
2013年第6期472-474,共3页
Chinese Journal of Health Care and Medicine
