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目的探讨重型颅脑损伤并发应激性溃疡的临床干预与防治措施。方法收集和整理2010年1月~2013年12月我院收治的78例重型颅脑损伤临床资料,对有效预防和治疗应激性溃疡的方式和方法进行总结和分析。结果 78例重型颅脑损伤患者,仅5例患者出现并发应激性溃疡出血现象。结论对重型颅脑损伤患者只有密切观察病情,规范治疗原发性疾病,早期给予营养支持和应用H2受体拮抗剂和质子泵抑制剂,才能有效预防或减少应激性溃疡并发症发生,保证患者的生存质量和降低致残致死率。
Objective To investigate the clinical intervention and prevention of severe craniocerebral injury complicated with stress ulcer. Methods The clinical data of 78 cases of severe craniocerebral injury admitted from January 2010 to December 2013 in our hospital were collected and analyzed. The methods and methods of effective prevention and treatment of stress ulcer were summarized and analyzed. Results 78 patients with severe traumatic brain injury, only 5 patients had concurrent stress ulcer bleeding phenomenon. Conclusion Only patients with severe craniocerebral injury can only observe the condition closely, standardize the treatment of primary diseases, give nutrition support early and apply H2 receptor antagonist and proton pump inhibitor to effectively prevent or reduce the occurrence of stress ulcer complications and ensure The quality of life of patients and reduce lethal mortality.