神经外科患者急性上消化道出血81例报告

Treatment of Acute Bleeding of Superior Digestive Trace in 81 Patients in the Intensive Care Unit of Neurosurgery

摘要: 本文报告自1986年3月至1992年4月,我科加强监护病房发生的急性上消化道出血81例经常规治疗75例(92.6％),治愈35例(43.2％),好转24例(29.6％),16例死亡(19.75％);对3例(3.7％)反复出血者行数字减影检查并胃左动脉栓塞;另3例(3.7％)应用新型胃酸抑制剂Omeprazole治疗;均获满意效果。本文强调,加强监护病房在急性上消化道出血的诊治中有重要价值。

Abstract: Eighty-one patients with acute bleeding of superior digestive tract treated in the intensive care unit （ICU） of neurosurgery from Mar. 1986 to Apr. 1992 werereported. With conventional therapy 75 patients（92.6％）were cured, 24（29.6％）improved, and 16（19.8％） died. 3 patients were treated by DSA and embolization. Another 3 patients were administered with Omeprazole, a new inhibitor of gastric acid secration. All 6 patients obtained satisfied effects. Meanwhile, ICU was favourahle for management of bleeding of superior digestive tract.