重型脑伤合并消化道应激性溃疡出血的疗效分析

The Efficacy Analysis of Severe Brain Injury with Gastrointestinal Stress Ulcer Bleeding

目的：通过对61例重型脑伤合并消化道应激性溃疡出血的内科综合治疗，评价其疗效在治疗中的地位。方法：对61例重型脑伤合并消化道应激性溃疡出血的患者进行内科综合治疗，分析其疗效。结果：消化道应激性溃疡出血一般发生在人院的2～6d，占观察例数的86．9%（53例），出血后，在治疗的两周内痊愈42例（占68．9％）。结论：重型脑伤合并消化道应激性溃疡出血是临床危急重症，积极的了解和祛除病因，持续监控；积极的、有效的综合治疗，能取得满意的疗效，提高痊愈率和患者的生存质量。

Objective： Through treating the 61 cases severe brain trauma with gastrointestinal stress ulcer bleeding with the comprehensive medical treatment, to evaluate its efficacy in the treatment of status. Methods： The effects of 61 cases of severe brain trauma with gastrointestinal stress ulcer bleeding treating with comprehensive medical treatment were analyzed. Results： Gastrointestinal stress ulcer bleeding occurred in the general admission of 2 - 6 days, accounting for the number of observed cases of 86.9% （53 cases）, bleeding after two weeks in the treatment of 42 cases of full recovery （68.9%）. Conclusion： Severe brain trauma with gastrointestinal stress ulcer bleeding is a clinical emergency case, active anglicizing and eliminating the cause, and the continued monitoring, positive, effective integrated treatment can achieve a satisfactory therapeutic effect and improve the cure rate and the patient＇s quality of life.