46例脑外伤患者术后合并上消化道出血的护理

目的探讨46例脑外伤术后并发上消化道应激性出血的影响因素。方法46例患者随机分为观察组26例，患者立即经胃管注入3％冰盐水250～300ml，6h／次，4～5d；对照组20例，患者仅插胃管用于胃肠减压观察，比较两组上消化道出血的影响因素。结果观察组26例患者中并发上消化道出血8例（30．6％），对照组20例患者并发上消化道出血12例（60％）。观察组脑出血患者并发上消化道出血发生率比对照组显著降低（P〈0．05）。结论脑外伤术后患者冰盐水胃管注入治疗，对预防上消化道出血发生有重要意义。

Nursing on 46 Cases of Brain Trauma Patients with Upper Gastrointestinal Bleeding

Objective Discussion on the effect factors of 46 cases of brain trauma surgery with upper gastrointestinal bleeding. Methods 46 patients were divided randomly observation group： 26 patients were injected 3 % ice physiological saline 250 -300 ml by gastric tube immediately, 6 hours 1 time, 4 -5 days;control group：20 patients were only inserted gastric tube for gastrointestinal decompression observation, comparing the effect factors on gastrointestinal bleeding between two groups. Results 8 cases with upper gastrointestinal bleeding in 26 patients on observation group （30. 6% ）, 12 cases with upper gastrointestinal bleeding in 20 patients on control group （60%）. The incidence on the observation group of cerebral hemorrhage with upper gastrointestinalblceding is significantly lower than th control group （ P 〈 0. 05 ）. Conclusion Brain trauma patients treated with ice brine by gastric tube, which is very important on the prevention of upper gastrointestinal bleeding＇s occurrence.