大面积烧伤并发应激性溃疡出血的临床分析

Clinical Experience Analysis of Stress Ulceration being Complicated by Extensive Burn

目的分析大面积烧伤并发应激性消化道溃疡出血发生的原因及治疗方法。方法对29例大面积烧伤并发消化道出血溃疡进行临床分析。结果2例消化道大出血死亡,1例术后再出血感染加重死亡,1例合并败血症死亡,其他全部痊愈,治愈率为86.2%。结论大面积烧伤后早期防治休克,控制感染,保护胃粘膜,平稳渡过休克期是预防消化道出血的关键。

Objective To approach the etiopathgenisis of stress ulceration comphcated by extensive bum,treatment and preventive measures. Method Retrospective analysis were made with 29 cases records. Results Two cases died in massive gastrointestinal hemorrhage, one case died in septicemia and one case died inbleeding shock after operation. The rest of others healed all. The curative rate was 86.2%. Conclusion It is an effective way of preventing an treating stress ulceration complicated by extensive burn to prevent/treat shock actively, to control infection effectively, and to protect gastric mucosa.