颅脑损伤并发上消化道出血的临床分析

Analysis of treatment on craniocerebral trauma combined with upper digestive tract hemorrhage

目的分析颅脑损伤并发上消化道出血的疗效。方法采用早期胃肠减压、鼻饲和使用抗酸药、止血药、纳洛酮等综合治疗,观察上消化道出血的发生率、出血控制率和死亡率。结果重、中度颅脑外伤并发上消化道出血的发生率分别是35.7%和8.7%;出血控制率是86.67%和100%;死亡率是33.3%和零。结论重度颅脑外伤并发上消化道出血的发生率和死亡率明显高于中度,出血控制率则低于中度,早期胃肠减压、鼻饲和使用抗酸药、止血药、纳洛酮等综合治疗可有效控制上消化道出血,并可降低其发生率和死亡率。

Objective To analyze the efficacy on severe craniocerebral trauma combined with upper digestive tract hemorrhage （UDTH）. Methods To observe the morbidty,bloodless rate and mortality of UDTH after using gastrointestinal decompression,nasal feeding, antiacid,hemostatic, Naloxone of the disease in the early stage. Results Morbidity of UDTH on severe,middle craniocerebral trauma were 35.70% and 8.7%, bloodless rate 86.67% and 1000%,mortality 33.3% and 0, respectively. Conclusion Severe morbidity and mortality in patients with UDTH are higher in the early stage than those in mild and bloodless group, but higher than mild group. Gastuointestinal decompression, nasal feeding, antiacid, hemostatic, Naloxone are effective treatments to reduce bloodless rate, morbidity and mortality of UDTH.