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严重烧伤后应激性溃疡的综合防治
引用本文:谢举临,利天增,祁少海,徐盈斌,李厚东,刘旭盛,舒斌,唐锦明. 严重烧伤后应激性溃疡的综合防治[J]. 中华损伤与修复杂志, 2008, 3(5): 42-44
作者姓名:谢举临  利天增  祁少海  徐盈斌  李厚东  刘旭盛  舒斌  唐锦明
作者单位:中山大学附属第一医院烧伤科,510080
摘    要:目的探讨严重烧伤后应激性溃疡的致病原因及防治方法。方法对1985年4月至2006年4月间收治的严重烧伤患者中并发应激性溃疡的38例患者临床资料进行回顾性分析。结果442例严重烧伤患者中,并发应激性溃疡者38例,发病率为8.6%;并发应激性溃疡者38例中死亡13例,病死率为34.2%。结论严重烧伤后应激性溃疡的发生与休克、感染等应激因素有关,因此积极消除诱发因素、加强制酸、早期进食、保护胃黏膜、应用生长抑素、必要时手术治疗,同时加强创面处理和抗感染治疗是防治烧伤后应激性溃疡的有效方法。

关 键 词:严重烧伤  应激性溃疡  治疗  出血

A clinical study of the characteristics,prevention and treatment of stress ulcer after severe burns
XIE Ju-lin,LI Tian-zeng,QI Shao-hai,XU Ying-bin,LI Hou-dong,LIU Xu-sheng,SHU Bin,TANG Jin-ming. A clinical study of the characteristics,prevention and treatment of stress ulcer after severe burns[J]. Chinese Journal of Injury Repair and Wound Healing, 2008, 3(5): 42-44
Authors:XIE Ju-lin  LI Tian-zeng  QI Shao-hai  XU Ying-bin  LI Hou-dong  LIU Xu-sheng  SHU Bin  TANG Jin-ming
Affiliation:XIE Ju-lin,LI Tian-zeng,QI Shao-hai,XU Ying-bin,LI Hou-dong,LIU Xu-sheng,SHU Bin,TANG Jin-ming.Department of Burns,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China
Abstract:Objective To explore the clinical characteristics,prevention and treatment of stress ulcer after severe burn.Method Retrospectively analyzed the clinical characteristics and treatment methods of 38 patients with stress ulcer after severe burn from 1985 April to 2006 April in our hospital.Result Thirty-eight of 442 patients with burns severe suffered from stress ulcer,the incidence rate was 8.6%;13 severe of 38 stress ulcer patients were dead,the death rate was 34.2%.ConclusionsThe stress ulcer after severe ...
Keywords:Severe burns  Stress ulcer  Therapy  Bleeding  
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