监护上消化道出血162例临床分析  

Monitored Upper G-I Bleeding,Clinical Analysis of 162 Cases

作　　者：赵双罗[1] 王学忠[1] 张福生[1] 朱西平 

机构地区：[1]河北省医院

出　　处：《天津医药》1990年第6期352-355,共4页Tianjin Medical Journal

摘　　要：我院1984～1988年对162例上消化道出血患者进行常规、特殊和辅助监护,死亡17例(10.5%)。监护结果表明病死率与首次出血程度、出血止血方式及伴发病密切相关(P<0.01)。常规监护时间为2.5±1天。连续监护可较准确估计出血量、及早发现或预防再出血、确定出血部位和性质并指导临床治疗。经监护确认为低危出血患者(79%)宜内科保守治疗,而属高危出血患者(21%),因病死率高达47.1%,应尽早急症手术,可望降低出血病死率。From 1984 to 1988,162 patients with upper gastrointestinal bleeding were monito-red with routine,special and adjuvant methods in this hospital.17 of them died(10.5%).The results of monitoring indicated that the mortality was closely relatedto severity of the first hemorrhage,the way of hemostasis and concomitant diseases(P<0.01).The time of routine monitoring was 2.5±1 days.Continual monitoring theamount of bleeding could be estimated the relapsing hemorrhage could be preventedand detected if any position and type the location and nature of the bleeding determined,thus directing clinical treatment.Medical therapy was indicated for the low-risk patients of hemorrhage confirmed by the monitor.Emergency operation shouldbe performed on high-risk patients of hemorrhage confirmed by the monitor so as toreduce the mortality which was as high as 47.1% by medical treatment.

关 键 词：上消化道出血 监护 临床分析 

分 类 号：R573.2[医药卫生—消化系统]