急性农药中毒致应激性溃疡大出血的治疗

Treatment of Massive Hemorrhage from Stress Ulcers Caused by Pesticide Poisoning

目的 :探讨农药中毒并发溃疡大出血的抢救措施。方法 :10例农药中毒致应激性溃疡患者 ,给予洗胃 ,清除体内毒物 ,胃镜直视下给予去甲肾上腺素或凝血酶点滴止血。结果 :10例中 1例过早停药引起反跳后再出血 ,抢救无效死亡 ,其余愈后良好 ,无复发。结论 :及时清除毒物是关键 ,胃镜下急诊局部止血治疗迅速、安全、可靠。

Objective:To probe into measures of emergency treatment of massive hemorrhage from stress ulcers resulted from pesticide poisoning as well as the nature of the ulcers. Methods:To analyze the clinical data of emergency treatment of 10 patients with pesticide poisoning complicated with stress ulcers during the period from April 1996 to April 2000. Results: One of the 10 patients died despite emergency treatment because of rebound hemorrhage possibly resulted from premature withdrawal of medicines. The other 9 patients recovered well and showed no inclination of relapse. Conclusion:Prompt clearing of the poison from the body is of crucial importance in the emergency treatment. Emergent local hemostasis under gastroscope proved to be effective, safe and reliable.