| 颅脑损伤并发上消化道出血机制及防治 |
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| 引用本文： | 柳浩然,杨长虹,黄勤.颅脑损伤并发上消化道出血机制及防治[J].中国实用神经疾病杂志,2001,4(6):4-5. |
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| 作者姓名： | 柳浩然 杨长虹 黄勤 |
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| 作者单位： | 1. 广东深圳边防武警中心医院神经外科,深圳,518006
2. 广州医学院附属第二医院神经外科,广州,510032 |
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| 摘 要： | 目的 :探讨颅脑损伤并发上消化道出血机制及防治。方法 :回顾性分析本科自 1995年以来诊治颅脑损伤 4 77例 ,其中并发上消化道出血 5 4例。结果 :颅脑损伤越严重 ,GCS评分越低 ,上消化道出血发生率越高。脑干及下丘脑部损伤后上消化道出血发生率高。重型颅脑损伤患者预防用药后上消化道出血发生率低于未用药者。结论 :出血与GCS评分、受伤程度有密切关系 ,同时 ,早期预防用药能降低其发生率 ,提高治愈率
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| 关 键 词： | 颅脑损伤 上消化道出血 |
| 修稿时间： | 2001年7月1日 |
Pathogenic mechanisms and prevention on upper gastrointestinal bleeding after craniocerebral injury |
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| Liu Haoran,Yang Changhong,Huang Qin.Pathogenic mechanisms and prevention on upper gastrointestinal bleeding after craniocerebral injury[J].Chinese Journal of Practical Neruous Diseases,2001,4(6):4-5. |
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| Authors: | Liu Haoran Yang Changhong Huang Qin |
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| Institution: | Liu Haoran,Yang Changhong,Huang Qin.Department of Neurosurgery,Shenzhen armed policeman hospital,shenzhen 518029 |
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| Abstract: | Objective:To study pathogenic mechanisms and prevention on upper gastrointestinal bleeding (UGB) after craniocerebral injury (CI).Methods:Four hundred and seventy-seven patients with CI admitted to our department from 1995 were retrospectively analyzed, and 54 patients followed by UGB.Results:The incidence of UGB increased with the decrease of GCS and the aggravation of severity of CI. Patients with injuries of the brain stem or hypothalamus had significant higher incidence of UGB than others. During severe craniocerebral injury, the incidence of UGB was significantly decreased in the patients with early drug therapy for prevention.Conclusion:The incidence of UGB has close relation to GCS and severity types of head injuries. It is suggested that the early drug therapy for prevention can decrease the incidence of UGB and increase the cure rate. |
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| Keywords: | Craniocerebral injury Upper gastrointestinal bleeding |
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