医源性消化道出血常见病因及其防治  

Causes of iatrogenic bleeding of gastroenterology and prophylaxis and therapy

作　　者：李明松[1] 石云[1] 刘思德[1] 张亚历[1] 姜泊[1] 

机构地区：[1]南方医科大学南方医院消化科,广东广州510515

出　　处：《胃肠病学和肝病学杂志》2009年第7期629-631,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的分析医源性消化道出血的常见病因,并探讨防治措施。方法就临床所见的69例医源性消化道出血进行分析。结果医源性消化道出血分布于临床各科室,病因各不相同,但以外科手术、外伤、脑血管意外、肾功能衰竭、呼吸功能衰竭、激素治疗、阿司匹林治疗等为主,临床上多以黑便为主要症状;对于已发生的医源性消化道出血,及时予制酸剂和胃黏膜保护剂治疗,能及时止血,大出血时经积极止血及抗休克治疗,甚至内镜治疗效果良好。结论医源性消化道出血各个临床科室均常见,病因各异,经积极、合理的治疗多预后良好。Objective To analyze the causes of iatrogenic bleeding of gastroenterology （IBA） and approach its prophylaxis and therapy. Methods Sixty-nine cases with IBA in hospitalization were analyzed. Results IBA was very common in most department and its causes were different, that were caused by the big operation, severe injury, stroke, kidney failure, respiratory failure, stesroidal hormone and aspirin. The frequent clinic feature of IBA was melena. Combination of antiacid and mueosal protectant could not only obviate IBA but also stop its bleeding. Hemorrhea could be stoped with angiotonica and antishock besides antiacid and mucosal protectant. It was necessary to stop hemorrhea with therapeutic endoscopy when above medicines did not work. Conclusion IBA is very common, and its causes are different, depending on the different original diseases. Prognosis of IBA is good after rational prophylaxis and active treatment.

关 键 词：医源性消化道出血 预防 治疗 

分 类 号：R57[医药卫生—消化系统]