重型颅脑损伤后反复发作性上消化道出血  

The recurrent upper gastrointestinal bleeding following severe craniocerebral injury

作　　者：宋洋[1] 徐永茂[2] 江兴松[2] 

机构地区：[1]中国人民解放军第九七医院神经外科,江苏徐州221004 [2]中国人民解放军第九七医院消化肿瘤科

出　　处：《徐州医学院学报》2010年第10期666-667,共2页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨重型颅脑损伤后反复发作性上消化道出血的原因及治疗。方法回顾性分析37例重型颅脑损伤后反复发作性上消化道出血患者病历资料。结果 37例患者中2次出血28例,3次出血9例。死亡15例(40.5%),治愈22例。结论呼吸衰竭、心力衰竭、感染等全身并发症是重型颅脑损伤后反复上消化道出血的诱因。有效防治并发症是防止再次出血的关键。Objective To investigate the pathogenic elements and the therapy of recurrent upper gastrointestinal bleeding following severe craniocerebral injury.Methods The clinical data of 37 patients with recurrent upper gastrointestinal bleeding following severe craniocerebral injury were retrospectively analyzed.Results Of the 37 cases,28 cases had bleeding twice and 9 cases had bleeding thrice.There were 15 deaths（40.5%） and 22 cases of recovery.Conclusion The full-length complications（respiratory failure,heart failure,infections etc.） were the immediate causality elements of recurrent bleeding.The key to the prevention of recurrent bleeding lies in effective prophylaxis and treatment of complications.

关 键 词：颅脑损伤 上消化道出血 反复发作 

分 类 号：R651.15[医药卫生—外科学]