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上消化道出血是重型颅脑损伤后常见的严重并发症之一,具有发病突然、病情进展快的特点[1]。如诊治不及时,措施欠合理,患者病死率高。我院自2005年至2010年间共收治重型颅脑损伤并发上消化道出血患者35例,在治疗原发病的同时,采用早期留置胃管、止血、制酸、保护胃黏膜、胃镜下治疗和胃次全切除术等综合治疗措施,取得了令人满意的疗效。现报告如下。
Upper gastrointestinal bleeding is one of the most common serious complications after severe craniocerebral injury. It has the characteristics of sudden onset and rapid progression of disease [1]. Such as diagnosis and treatment is not timely, the measures are not reasonable, patients with high mortality. In our hospital from 2005 to 2010 were treated a total of 35 cases of severe head injury complicated by upper gastrointestinal bleeding in the treatment of primary disease at the same time, the early use of gastric tube, stop bleeding, acid, gastric mucosa, endoscopic treatment and Subtotal gastrectomy and other comprehensive treatment measures, and achieved satisfactory results. The report is as follows.