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目的：探讨颅脑损伤并发上消化道出血的临床观察与护理。方法：回顾性分析96例颅脑损伤并发上消化道出血的的病例在诊疗过程中的护理经验。结果：洽愈80例，缓解8例，无效3例，原发伤加重死亡5例。结论：观察与救护的要点包括重视评估并发上消化道出血高危人群，密切观察原发性损伤的同时，注重出血先兆的观察，给予早期鼻饲及使用抑酸剂综合性预防，做好出血期间的急救处理，以降低发生率及病死率。“,”Objective :To explore the clinical observation and nursing of gastrointestinal hemorrhage induced by craniocerebral injury . Methods :a retrospective analysis of 96 cases of craniocerebral injury complicated with upper digestive tract hemorrhage nursing experience of the patients in the treatment process .Results :the consistent healing in 80 cases ,relieved in 8 cases ,invalid 3 cases ,5 cases died of primary wound aggravation .Conclusion :the key observation and rescue including the importance of high -risk groups associated with upper digestive tract hemorrhage assessment ,close observation of primary injury at the same time ,pay attention to observe bleeding aura ,giving early naso-gastric feeding and the use of antacids comprehensive prevention ,do emergency treatment of bleeding period ,in order to reduce the incidence and mortality rate .