重型颅脑外伤后上消化道出血风险因素的临床研究

Clinical study of risk factors of hemorrhage of the upper digestive tract in severe craniocerebral injury

目的 研究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 115例重型颅脑损伤的临床资料。结果 上消化道出血 5 4例。GCS、去脑强直、中枢性高热、血糖浓度、低血压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 。

Objective Risk factors of hemorrhage of the upper digestive tract in severe craniocerebral injury were evaluated.Methods 15 cases of severe craniocerebral injury were retrospectively analysed.Results Bleeding of the upper digestive tract was found in 54 cases. This analysis indicated 5 significant risk factors for predicting the development of hemorrhage of the upper digestive tract:GCS,decerebrated rigidity, high fever, blood sugar concentration, lower blood pressure are positively correlated with bleeding of the upper digestive tract. Conclusion We must constantly guard against bleeding of the upper digestive tract among ICU patients with severe craniocerebral injury, especially among those with risk factors.