影响创伤后应激性溃疡出血的因素  

Influencing Factors of Post-traumatic Stress Ulcer Bleeding

作　　者：刘楠[1] 许赞峰[1] 

机构地区：[1]西安市红十字会医院外科,710054

出　　处：《美中国际创伤杂志》2012年第4期10-11,6,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨影响创伤（含手术）后应激性溃疡出血的因素。方法：回顾性分析近5年来收治的1986例创伤和手术后患者的临床资料，将其中发生应激性溃疡出血病例与未发生病例对比分析。结果：严重创伤后应激性溃疡出血发生率明显高于创伤较轻者（P〈0．01），合并糖尿病、心肺病及年龄≥60岁患者应激性溃疡出血发生率明显高于无糖尿病、心肺病及年龄〈60岁者（P〈0．05）。结论：创伤后应激性溃疡出血的发生，决定于创伤程度、伤者年龄、基础疾病及救治措施情况等综合因素。Objective： To investigate the fators of influence in post-traumatic stress bleeding. Methods： The clinical data of 1986 trauma and post-op patients over the last 5 years were analyzed retrospectively, and the cases with or without stress ulcer bleeding were studied comparatively. Results： The incidence of stress ulcer bleeding in cases with severe injury was significantly higher than that in those with slight injury （P〈0.01）. And, patients ≥ 60 years, with diabetes, heart or lung disease, the incidence of stress ulcer bleeding was also higher than those patients〈60 years and without above disease （P〈0.05）. Conclusion： Post-traumatic stress ulcer bleeding is decided to the combined factors including injury severity （ISS）, patient＇ age, underlying diseases, treatment and so on.

关 键 词：应激性溃疡 影响因素 对比性研究 

分 类 号：R656.62[医药卫生—外科学]