冠心病合并上消化道出血临床诊治分析  

Clinical Diagnosis and Treatment of Coronary Heart Disease Complicated With Upper Gastrointestinal Hemorrhage

作　　者：杜亚军[1] 刘秀红[1] 刘国星 但国梅 DU Yajun;LIU Xiuhong;LIU Guoxing;DAN Guomei(Department of Cardiology,The First People's Hospital of Zaoyang City,Zaoyang Hubei441200,China)

机构地区：[1]湖北省枣阳市第一人民医院心血管内科

出　　处：《中国继续医学教育》2019年第18期83-84,共2页China Continuing Medical Education

摘　　要：目的分析冠心病合并上消化道出血的临床诊断与治疗方式。方法选取我院2018年1—12月收治的90例冠心病合并上消化道出血患者作为研究对象。对其临床资料进行回顾性分析,了解患者临床表现、治疗方法与治疗效果。结果全部患者均在发病之前选择采用抗血栓药物进行治疗,发病之前采用非甾体类消炎药进行治疗的患者共有20例,在不同程度上伴随十二指肠溃疡或者胃溃疡的患者共有12例,治疗总有效率为81.11%。结论临床诊治冠心病合并上消化道出血时,需先明确出血部位,然后再采取针对性的抢救与治疗措施。Objective To analyze the clinical diagnosis and treatment of coronary heart disease complicated with upper gastrointestinal hemorrhage. Methods From January to December 2018, 90 patients with coronary heart disease complicated with upper gastrointestinal bleeding were selected as the subjects. The clinical data were analyzed retrospectively to understand the clinical manifestations, treatment methods and therapeutic effects of the patients. Results All patients were treated with antithrombus drugs before the onset of the disease. A total of 20 patients were treated with non-steroidal anti-inflammatory drugs, and 12 patients with duodenal ulcer or gastric ulcer were treated with non-steroidal anti-inflammatory drugs before the onset of the disease. The total effective rate was 81.11%. Conclusion When diagnosing and treating patients with coronary heart disease complicated with upper gastrointestinal bleeding, it is necessary to make clear the location of bleeding, then observe the patients closely, and take targeted rescue and treatment measures to save the lives of patients effectively.

关 键 词：冠心病 上消化道出血 临床诊断 治疗方法 临床表现 治疗效果 

分 类 号：R541[医药卫生—心血管疾病]