摘要
目的调查并临床分析神经外科重症患者迟发型应激性消化道溃疡出血的主要因素、治疗方法以及预测病情发展。方法选取我院2015年4月-2017年11月神经外科重症监护室接收的迟发型应激性消化道溃疡出血的神经外科重症患者的临床资料,回顾性分析患者发病因素。共搜集应激性消化道溃疡出血的神经外科重症患者42例,其中迟发型患者21例,非迟发型患者21例。结果导致迟发型应激性消化道溃疡出血的可能主要因素有:持续高热、凝血功能异常、非甾体抗炎药使用以及感染(P<0.05)。结论根据患者具体病情研究程度以及主治医生的经验,可延长患者质子泵抑制剂的使用时间,改善异常凝血功能,进行抗感染治疗,合理使用非甾体抗炎药。
Objective to investigate and analyze the main factors,treatment methods and prognosis of delayed stress peptic ulcer bleeding in patients with severe neurosurgery.Methods from April 2015 to November 2017,the clinical data of patients with delayed stress peptic ulcer bleeding in neurosurgical intensive care unit were analyzed retrospectively.A total of 42 severe neurosurgical patients with stress peptic ulcer hemorrhage were collected,including 21 patients with delayed onset and 21 patients with non-delayed type.Results the possible cause of delayed stress gastrointestinal ulcer hemorrhage There were persistent high fever,abnormal blood coagulation,use of non-steroidal anti-inflammatory drugs and infection(P<0.05).Conclusion according to the study degree of the patient's condition and the experience of the attending doctor,the application time of proton pump inhibitor can be prolonged,the abnormal coagulation function can be improved,the anti-infection treatment can be carried out,and the non-steroidal anti-inflammatory drugs can be used reasonably.
出处
《结直肠肛门外科》
2018年第A02期167-168,共2页
Journal of Colorectal & Anal Surgery
关键词
神经外科重症患者
迟发型
应激性消化道溃疡出血
Neurosurgical severe patients
delayed type
Stress-induced peptic ulcer hemorrhage
