期刊文献+

应激性溃疡56例临床分析 被引量:2

Clinical analysis of 56 cases of stress ulcer
下载PDF
导出
摘要 目的探讨应激性溃疡的预防与治疗。方法对56例应激性溃疡患者的诊治资料进行回顾性分析。结果本组56例患者中,采用内科治疗42例(75.0%),手术治疗14例(25..%);死亡15例,病死率26.79%(15.19%~38.28%)。结论应激性溃疡病死率高,对有应激风险的患者,可采用消除应激因素、早期使用胃粘膜保护剂和抗酸治疗等措施,对已发生出血的患者,采用内科治疗或手术治疗,预防与治疗相辅相成,具有重要的临床意义。 Objective To study the prevention and treatment of stress ulcer. Methods The medical records of 56 patients with stress ulcer were reviewed. Results Among the 56 patients, 42 were treated by medicine, 14 patients by surgery. Fifteen patients died with the mortality of 27%. Conclusion The mortality of stress ulcer is high. For those with potential danger to stress, it is important to abolish the stress factors and early use gastric mucous protectant and antiacid. For those who have hemorrhage following stress ulcer, it is urgent to choose medical or surgical management.
出处 《西部医学》 2006年第6期767-768,共2页 Medical Journal of West China
关键词 应激性溃疡 预防 治疗 Stress ulcer Prevention Treatment
  • 相关文献

参考文献3

二级参考文献18

  • 1Sung JJ,Chan FK,Lau JY,et al. The effect of endoscopic therapy in patients receiving omeprazole for bleeding ulcers with non-bleeding visible vessels or adherent clots:a randomized comparison [ J ]. Ann Intern Med, 2003,139 (4) :237 - 243.
  • 2Kanai M, Hamada A, Endo Y, et al. Efficacy of argon plasma coagulation in nonvariceal upper gastrointestinal bleeding[ J]. Endoscopy,2004,36(12) :1085 - 1088.
  • 3Sofia C, Portela F,Gregorio C ,et al. Endoscopic injection therapy vs. multipolar electrocoagulation vs. laser vs. injection + octreotide vs. injection + omeprazole in the treatment of bleeding peptic ulcers. A prospective randomized study [ J ]. Hepatogastroenterology,2000,47 ( 35 ) : 1332 - 1336.
  • 4Allen ME, Kopp B J, Erstad BL. Stress ulcer prophylaxis in the postoperative period [ J ]. Am J Health - Syst Pharm, 2004,61(3) :588 -596.
  • 5Moore JG, Coburn JW, Sanders MC, et al. Effects of sucralfate and ranitidine on aluminum concentrations in elderly volunteers[ J ]. Pharmacotherapy, 1995,15 (6) :742 - 746.
  • 6Thorburn K, Samuel M, Smith EA, et al. Aluminum accumulation in critically ill children on sucralfate therapy [ J ]. Pediatr Crit Care Med,2001,2(3) :247 -249.
  • 7Mulla H, Peek G, Upton D, et al. Plasma aluminum levels during sucralfate prophylaxis for stress ulceration in critically ill patients on continuous venovenous hemofiltration: a randomized,controlled trial[J]. Crit Care Med,2001,29(2) :267 -271.
  • 8Conrad SA, Gabrielli A, Margolis B, et al. Randomized, double- blind comparison of immediate - release omeprazole oral suspension versus intravenous cimetidine for the prevention of upper gastrointestinal bleeding in critically ill patients [ J ]. Crit Care Med,2005,33 (4) :760-765.
  • 9American Society of Health - System Pharmacists. ASHP therapeutic guidelines on stress ulcer prophylaxis [J]. Am J Health -Sys Pharm,1999,56(4) :347 - 379.
  • 10Mutlu GM, Mutlu EA, Factor P. GI complications in patients receiving mechanical ventilation [ J ]. Chest,2001,119 (4) : 1222 -1241.

共引文献17

同被引文献5

  • 1Gramlieh I,Kichian K,Pinilla J,et al.Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill aduh patients:a systematic rewiew of the literature[J].Nutrition,2004,20(1):843-848.
  • 2Kreymann KG,Berger MM,Deutz M,et al.Espen guidelines on enteral nutrition:intensive care[J].Clinical Nutrition,2006,(25):210-223.
  • 3陈仁.现代临床营养学[M].北京:人民军医出版社,1996.278.
  • 4陈仁〓.现代临床营养学[M]人民军医出版社,1996.
  • 5余彦,吕恩,唐朝晖.肠内营养支持对ICU患者细胞免疫的影响[J].中国危重病急救医学,2000,12(2):113-115. 被引量:71

引证文献2

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部