尿毒症合并上消化道出血的临床分析  

Clinical Analysis of Uremia Accompanied with Bleeding of Upper Digestive Tract

作　　者：曹艳玲[1] 邢淑巧[1] 

机构地区：[1]辽宁省大连市中心医院,大连116033

出　　处：《中国临床医学》2004年第3期362-363,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :探讨尿毒症合并上消化道出血的高危因素及防治。方法 :对 5 2例尿毒症并发上消化道出血患者的临床资料进行回顾性分析。结果 :病人的血尿素氮、血肌酐、血钙、血红蛋白、血浆总蛋白及出血时间均发现有显著的改变。 4 1例经治疗后好转 ,11例治疗无效死亡。结论 :贫血、低钙、凝血机制障碍、透析不充分等是尿毒症合并上消化道出血的危险因素 ,临床上应根据其变化尽早防治。Objective: To study the high risk factors of uremia accompanied with bleeding in upper digestive tract and its prevention and therapy. Methods: 52 cases of uremia accompanied with bleeding in upper digestive tract were studied retrospectively. Results: The blood urea nitrogen, blood creatinine, blood calcium, hemoglobin, plasm total protein and bleeding time were changed markedly in the group of uremia accompanied with bleeding in upper digestive tract. 41 cases were recovered and 11 died. Conclusion:Anemia, hypocalcemia, dysfunction of blood coagulation and incomplete blood dialysis are the risk factors of bleeding in upper digestive tract. Prevention and suitable therapy are needed in these situation described above.

关 键 词：尿毒症 合并症 上消化道出血 预防 治疗 危险因素 

分 类 号：R692.5[医药卫生—泌尿科学] R573.2[医药卫生—外科学]