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目的探讨颅脑损伤后上消化道出血的预防措施及其治疗方法。方法回顾性分析631例颅脑损伤后上消化道出血的病例,在治疗原发伤病基础上,采用止血、制酸、保护胃黏膜等对症处理,同时应用阿托品治疗24例,胃镜下治疗9例,胃次全切除术6例。结果本组病例中,治愈573例,缓解38例,无效7例,死亡13例;其中阿托品治愈23例,胃镜下治愈8例,胃次全切除术治愈5例。结论预防和治疗的重点是消除颅脑损伤病灶和保护胃黏膜,常规处理方案效果满意,简单、经济且安全有效,但必要时应及时使用特殊治疗手段,以迅速控制出血病情。
Objective To explore the prevention and treatment of upper gastrointestinal bleeding after craniocerebral injury. Methods A retrospective analysis of 631 cases of upper gastrointestinal bleeding after craniocerebral injury cases, based on the treatment of primary injury, using hemostasis, acid, gastric mucosa and other symptomatic treatment, while the application of atropine in 24 cases, endoscopic treatment of 9 Cases, subtotal gastrectomy in 6 cases. Results In this group, 573 cases were cured, 38 cases were relieved, 7 were ineffective and 13 died. Among them, 23 cases were cured with atropine, 8 cases were cured with endoscopy, and 5 cases were treated with subtotal gastrectomy. Conclusion The focus of prevention and treatment is to eliminate the lesions of brain injury and protect the gastric mucosa. The conventional treatment regimen is satisfactory, simple, economical and safe. However, special treatment should be promptly used if necessary to control the bleeding rapidly.