重型颅脑损伤后并发应激性消化道出血患者37例的临床护理体会

目的探讨重型颅脑损伤后应激性消化道出血的观察目标、护理方法。方法回顾性分析2004年1月～2009年12月共143例重度颅脑损伤中发生应激性消化道出血患者的护理经验。结果重型颅脑损伤后发生应激性消化道出血37例(发生率25.8%),发生应激性消化道出血病死亡8例(病死率21.6%)。结论建立多项监测目标,评估高危出血患者,密切观察病情变化,早期监测消化道出血,加强护理干预,能减少应激性消化道出血的发生率和病死率。

Objective To investigate the observed object and the nursing measures of stress gastrointestinal hemorrhage after severe head injury. Methods A retrospective analysis was made to the nursing of 37 cases with stress gastrointestinal hemorrhage out of 143 cases of severe head injury from 2004 to 2009. Results The incidence of stress gastrointestinal hemorrhage after severe head injury was 25.8%（37/143）;8out of the37 cases died（21.6%）.Conclusion Building up the multiple monitoring items, evaluating the risk cases,close observation of the changes of the disease, monitoring of gastrointestinal hemorrhage early and strengthen care can reduce the incidence and mortality of stress gastrointestinal hemorrhage.