重型颅脑损伤急性上消化道出血并顽固性呃逆24例分析及护理

Nursing care of severe eranio- cerebral injury complicated with acute peptic hemorrhage and incorrigible singultus.

目的 探讨重型颅脑损伤急性上消化道出血并顽固性呃逆的临床特点，总结其发病机制和提出其护理对策。方法 总结分析我院2000年1月-2005年12月期间收治的200例重型颅脑损伤患者中24例合并急性上消化道出血、顽固性呃逆病例的临床资料。结果 200例患者中24例并发急性上消化道出血、顽固性呃逆，通过预见性护理干预，痊愈21例，死亡3例。结论 重型颅脑损伤后并发急性上消化道出血并不少见，而顽固性呃逆使病情加重，死亡率更高，两者互为因果，护理中应加强重视，预防各种并发症的发生。

Objective To investigate the clinical features of severe cranio - cerebral injury complicated with acute peptic hemorrhage and incorrigible singuhus, and summarize its occurrence, mechanism and strategy of nursing.Methods Twenty - four cases of acute peptic hemorrhage with incorrigible singultus in 200 severe cranio - cerebral injury cases hospitalized in the hospital from Jan 2000 to Dec 2005 were analyzed. Results Twenty - one cases were cured and 3 dead in 24 casescomplicated with acute peptic hemorrhage and incorrigible singultus from 200 cases of severecranio - cerebral injury through predictive nursing and treatments. Conclusions It is not rare in the occurrence of acute peptic hemorrhage following severe cranio- cerebral injury. Furthermore, incorrigible singultus may worsen the conditions and increase the mortality ratio. Nursing care should be intensified to prevent the occurrence of the complications.