摘要
目的分析消化道大出血合并心衰患者的临床表现、发病原因及干预措施。方法：回顾性分析消化道大出血合并心衰患者75例的临床表现、心电图特点、血清学指标。结果：75例中，肝硬化合并上消化道出血30例，消化性溃疡合并出血23例，消化道癌肿合并出血17例，不明原因消化道出血5例；心电图检查：心绞痛28例，急性心肌梗死27例，房室传导阻滞20例；经对症治疗后，67例治愈出院，8例因难以纠正的心源性休克或者心功能衰竭而在入院后8～42h内死亡。结论：消化道出血可导致心衰，应密切关注患者生命体征，动态观察心电图变化，检查血清心肌酶学，以预防心脏合并症发生，减少死亡率。
Objective To analyze the clinical manifestations of gastrointestinal bleeding combined patients with heart failure, causes andinterventions, provide a reference for the treatment of gastrointestinal bleeding in patients with heart failure. Methods： Retrospective analysis ofJanuary 2013-2015 in January in our hospital for emergency treatment of patients with gastrointestinal bleeding complicated with heart failurein 75 cases of clinical manifestations, ECG characteristics, serological indicators. Results：75 cases of gastrointestinal bleeding in patients withheart failure, cirrhosis and upper gastrointestinal bleeding in 30 cases combined, peptic ulcer bleeding in 23 cases, 17 cases of gastrointestinalcancer hemorrhage, unexplained gastrointestinal bleeding in 5 cases; symptomatic treatment after treatment, 67 patients were cured, 8 cases ofpatients with difficult to correct cardiogenic shock or heart failure and death within 8-42 hours after admission. Conclusion：Gastrointestinalbleeding can lead to heart failure, should pay close attention to patient＇s vital signs, ECG changes dynamic observation, examination of serummyocardial enzymes in order to prevent the occurrence of cardiac complications and reduce mortality.
出处
《世界中医药》
CAS
2016年第B03期1167-1167,共1页
World Chinese Medicine
关键词
消化道大出血
心衰
心电图
心肌酶学
gastrointestinal bleeding
heart failure
electrocardiogram
myocardial enzymes
