摘要
目的 探讨重型颅脑损伤后上消化道出血的风险因素。方法 回顾性分析了１５３ 例重型颅脑损伤的临床资料。结果 上消化道出血４９ 例。ＧＣＳ评分高低、去脑强直、中枢性高热、血糖浓度与上消化道出血显著相关，属于风险因素。结论 在重型颅脑损伤的监护治疗中，应警惕上消化道出血的可能性，尤其是对具有出血风险因素的病人。
Objective To evaluate the risk factors for gastrointestinal bleeding after severe head trauma.Method 153 cases of severe craniocerebral injury were retrospectively analysed.Results Gastrointestinal bleeding was found in 49 cases(30%).This analysis indicated 4 significant risk factors for predicting the development of gastrointestinal bleeding:1.GCS,2.decereberate rigidity,3.high fever,4.hyperglycemia.Conclusion We must be constantly on our guard against gastrointestinal bleeding among ICU patients with severe craniocereral injury,especially among those with risk factors. [
出处
《临床外科杂志》
2000年第1期28-29,共2页
Journal of Clinical Surgery
关键词
颅脑损伤
应激性溃疡
上消化道出血
Craniocerebral injury
Gastrointestinal hemorrhage
Stress ulcer
Risk factor
