脑肿瘤术后急性胃粘膜病变出血41例临床分析  

Clinical Analysis of Upper Gastrointestinal Hemorrhage Caused by Acute Gastric Mucosal Lesion in 41 Patients after Surgical Removal of Brain Tumor

作　　者：熊冠泽[1] 雷军[1] 卢松[1] 吴家玉[1] 丁福全[1] 

机构地区：[1]四川省肿瘤医院ICU室,四川成都610041

出　　处：《四川肿瘤防治》2004年第4期212-214,共3页Sichuan Journal of Cancer Control

摘　　要：目的 :探讨脑肿瘤术后急性胃粘膜病变出血的规律和特点。方法 :从 2 38例脑肿瘤术后病人中 ,选取并发急性胃粘膜病变出血患者 4 1例的临床资料 ,对发病特点、出血发生几率、临床表现、防治效果等进行分析。结果 :术后急性胃粘膜病变出血与肿瘤发生部位、深度、肿瘤体积和侵袭范围 ,以及手术切除范围等因素有密切关系 ,术后病情越重 ,发生出血几率越高 ,死亡率越大。结论 :去除应激源是治疗急性胃粘膜损伤出血的基础 ,应从早期诊断、预防使用制酸剂和胃粘膜保护剂、稳定内环境等方面予以防治。Objective:?To explore the patterns and features of acute gastric mucosal lesion after surgical removal of brain tumors.Methods:?41 out of 238 patients who received surgical removal of their brain tumors developed upper gastrointestinal hemorrhage after surgery. The features of disease onset, bleeding tendancy, manifestations and results of prevention and treatment were analyzed.Results:?Postoperative upper gastrointestinal hemorrhage was closely related to the site, depth, volume and extent of invasion of brain tumor, as well as the extent of surgical resection. The incidence of hemorrhage and mortality increased as the patients condition deteriorated.Conclusion:?The key to the treatment of upper gastrointestinal hemorrhage is elimination of stressors. Early diagnosis, early application of antacids and gastric musosa protectants, and maintaining homeostasis were essential for prevention and treatment.

关 键 词：脑肿瘤术 急性胃粘膜病变 胃黏膜 消化道出血 防治措施 

分 类 号：R739.4[医药卫生—肿瘤]