重度烧伤并发应激性溃疡出血的原因及防治

The causes and prevention methods of severe burn patients complicated with stress ulcer bleeding

目的探讨重度烧伤并发应激性溃疡出血发生的原因及防治方法。方法我院2008年1月至2013年12月共收治892例重度烧伤患者,回顾分析其中53例并发应激性溃疡出血患者的临床资料。结果重度烧伤并发应激性溃疡出血的53例患者中,经积极治疗,显效24例,有效22例,总有效率为87%;休克患者出血发生率明显高于无休克患者(χ2=138.20,P<0.05),应激性溃疡出血与休克之间存在较强关联性(χ2=62.82,P<0.05,r=0.65)。结论对于存在休克的重度烧伤患者需提高警惕,注意监测有无应激性溃疡出血发生,早期行综合治疗,防治休克是预防应激性溃疡出血的有利措施。

Objective To study the causes and prevention methods of severe burn patients complicated with stress ulcer bleed -ing.Methods From January 2001 to December 2012 , a total of 892 cases of severe burn patients were treated in our hospital .Clinical data of 53 cases complicated with stress ulcer bleeding were retrospectively analyzed .Results Of the 53 patients, therapy was marked-ly effective in 24 cases and effective in 22 patients.The total effective rate was 87%.The incidence of bleeding in shock patients was significantly higher than that in non-shock patients （χ2=138.20 , P〈0.05 ） .There was a significant correlation between shock and stress ulcer bleeding （χ2=62.82 ,P〈0.05 ,r=0.65 ） .Conclusion It should be wary of severe burn patients with shock to monitor the presence of stress ulcer hemorrhage , so that to carry out early comprehensive treatment .The prevention and treatment of shock are fa-vorable measures for stress ulcer bleeding .