| 重型颅脑外伤后上消化道出血风险因素的临床研究 |
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| 引用本文： | 余芾成,周成,谭梦芳,李文辉,宋慧琴.重型颅脑外伤后上消化道出血风险因素的临床研究[J].中国急救医学,2001,21(7):394-395. |
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| 作者姓名： | 余芾成 周成 谭梦芳 李文辉 宋慧琴 |
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| 作者单位： | 湖北省孝感市中心医院ICU, |
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| 摘 要： | 目的：研究重型颅脑损伤后上消化道出血的风险因素。方法：回顾性分析115例重型颅脑损伤的临床资料。结果：上消化道出血54例，GCS，去脑强直，中枢性高热，血糖浓度，低血压与上消化道出血显著相关，属于风险因素，结论：在重型颅脑损伤的监护治疗中，应警惕上消化道出血的可能性，尤其对伴有出血风险因素的病人。
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| 关 键 词： | 颅脑损伤 上消化道出血 风险因素 并发症 |
| 文章编号： | 1002-1949(2001)07-0394-02 |
| 修稿时间： | 2000年11月6日 |
Clinical study of risk factors of hemorrhage of the upper digestive tract in
severe craniocerebral injury |
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| YU Fei-cheng,ZHOU Cheng,TAN Meng-fang,et al..Clinical study of risk factors of hemorrhage of the upper digestive tract in
severe craniocerebral injury[J].Chinese Journal of Critical Care Medicine,2001,21(7):394-395. |
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| Authors: | YU Fei-cheng ZHOU Cheng TAN Meng-fang |
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| Institution: | YU Fei-cheng,ZHOU Cheng,TAN Meng-fang,et al. Department of ICU,Xiaogan Central Hospital,Xiaogan 432100,China |
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| Abstract: | Objective Risk factors of hemorrhage of the upper digestive tract in severe craniocerebral injury were evaluated.Methods 15 cases of severe craniocerebral injury were retrospectively analysed.Results Bleeding of the upper digestive tract was found in 54 cases. This analysis indicated 5 significant risk factors for predicting the development of hemorrhage of the upper digestive tract:GCS,decerebrated rigidity, high fever, blood sugar concentration, lower blood pressure are positively correlated with bleeding of the upper digestive tract. Conclusion We must constantly guard against bleeding of the upper digestive tract among ICU patients with severe craniocerebral injury, especially among those with risk factors. |
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| Keywords: | Craniocerebral injury Hemorrhage of the upper digestive tract Risk factors |
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