重型颅脑损伤后应激性消化道出血113例临床分析  

Clinic analysis of 113 cases with stressful gastrointestinal hemorrhage after severe craniocerebral injury

作　　者：韦玉 

机构地区：[1]广西壮族自治区平果县人民医院外三科,广西平果531400

出　　处：《海南医学院学报》2009年第6期591-592,共2页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(002009002)

摘　　要：目的:探讨重型颅脑损伤后应激性溃疡出血的机制和防治。方法:分析2002～2008年收治的重型颅脑损伤患者635例,其中应激性溃疡出血113例。结果:重型颅脑损伤应激性溃疡发生率高,预防性应用奥美拉唑针剂(洛赛克针剂)可以降低发生率,应用地塞米松发病率高。结论:应激性溃疡出血与重型颅脑损伤和糖皮质激素应用呈正相关。Objective. To discuss orrhage after severe craniocerebral injury mechanism, prevention and treatment Methods： Analyzed 635 cases with of stressful gastrointestinal hemsevere craniocerebral injury in 2002, including 113 cases with stressful gastrointestinal hemorrhage. Results： The incidence of stressful ulcer bleeding was high in patients with severe craniocerebral injury. Preventive injection of omeprazole can decline the incidence, while hexadecadrol can increase. Conclusion： Incidence of stressful ulcer bleeding has positive correlation with incidence of severe craniocerebral injury and application of glucocorticoid.

关 键 词：脑损伤 应激性溃疡 消化道出血 奥美拉唑 

分 类 号：R651.1[医药卫生—外科学]