摘要
报告1986年3月～1992年4月我科ICU收治81例急性上消化道大出血的诊断、治疗及效果。采用常规治疗75例(92.6%),其中治愈35例(43.2%),好转24例(29.6%),死亡16例(19.75%)。对3例反复出血者行数字减影检查并胃左动脉栓塞和另3例应用新型胃酸抑制剂洛赛克(Omeprazole)治疗,均获得满意效果。我们认为ICU进行急性上消化道出血的加强医疗对临床至关重要。
Eighty-one patients with acute upper digestive tract bieeding were treated in the intensive care unit (ICU) of the neuro surgery between Mar. 1986 and Apr. 1992. Of them 75 cases were treated by routine therapy, the cure being in 35 (43.2%), improvement in 24 (29.6%), death 16 (19.75%). While digital subtraction angiography (DSA) was applied in 3 patients repeated bleeding, and the bleeding seats were shown on it. Consequentially, two of the 3 cases stopped bleeding and other one got impovement by embolization procedure. In addition, Omeprazole, a new inhibitor of gastric acid secretion, was used in 3 bleeding cases, with a satisfactory effect. The authors believe that ICU is most favourabie to medical management of such patients.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1993年第1期27-28,共2页
Chinese Journal of Trauma
关键词
应激性溃疡
颅脑损伤
ICU management Stress ulcer Gastroduodenum Head injury
