探讨急性酒精中毒合并上消化道出血的急诊治疗方法与临床疗效

The Clinical Effect of Emergency Treatment on Acute Alcoholism Combined with Upper Gastrointestinal Hemorrhage

目的分析急性酒精中毒合并上消化道出血的急诊治疗方法及临床效果。方法选择2016年2月-2019年2月兰考县中心医院收治的急性酒精中毒合并上消化道出血患者50例作为研究对象,纳入对象家属签署知情同意书,有完整临床资料,回顾性分析他们的临床治疗方法与效果。结果50例患者经过本院急诊科补液、抑酸止吐、镇静、止血、催醒等综合治疗后,痊愈43例、有效7例、无效0例,总有效率高达100%;50例患者治疗后24h内均清醒,平均时间(10.56±2.16)h。结论急性酒精中毒合并上消化道出血患者病情危重,经急诊科综合治疗方案处理,及时补液、抑酸止吐、止血、镇静及催醒等,可保障患者的生命安全,基本可在24h内清醒。

Objective To analyze the clinical effect of emergency treatment on acute alcoholism combined with upper gastrointestinal hemorrhage.Methods Fifty patients with acute alcoholism and upper gastrointestinal hemorrhage who were admitted to the Central Hospital of Lankao County from February 2016 to February 2019 were selected as the research subjects.The family informed consent were acquired,and complete clinical data of clinical treatment methods and effects were analyzed retrospectively.Results Fifty patients underwent comprehensive treatment such as fluid replacement,acid and vomiting suppression,sedation,hemostasis,and awakening in our emergency department,and 43 patients were cured,7 were effective,and 0 were ineffective.The total effective rate was 100%.They were all awake within the next 24 hours,with an average time of(10.56±2.16)hours.Conclusion Patients with acute alcoholism combined with upper gastrointestinal hemorrhage are critically ill and they should be treated with the comprehensive treatment plan.Timely rehydration,acid and vomiting suppression,hemostasis,sedation and awakening can protect the patient’s life and the patients will wake up within 24 hours.