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应激性溃疡是大面积烧伤常见的并发症,是死亡的重要原因之一,故及早发现和预防非常关键。我院 2001年成功救治2例重症烧伤合并应激性溃疡上消化道出血病例,现将临床资料及护理体会总结如下。一、临床资料例1,男,30岁,热烧伤98%三度95%经抗休、抗感染治疗,于伤后15天出现脐周痛,伤后17天出现大量柏油样便,诊断为应激性溃疡上消化道出血。例2 男,36岁,热烧伤60%三度45%经抗休克、抗感染治疗,于伤后18天突发上腹痛,大量柏油样便,诊断为应激性溃疡上消化道出血。2例均为重症烧伤,均在伤后两周左右出现腹痛、柏油样便且反复出血量较大。其中例1共行手术6次,有4次术后出现大量柏油样便。
Stress ulcer is a common complication of extensive burn, is one of the important causes of death, so early detection and prevention is very critical. In our hospital in 2001 successfully treated 2 cases of severe burn combined with stress ulcer upper gastrointestinal bleeding cases, now the clinical data and nursing experience are summarized as follows. First, the clinical data Example 1, male, 30 years old, 98% of thermal burns Third degree 95% After anti-rest, anti-infective treatment, pain in the umbilical cord occurred 15 days after injury, a large number of asphalted samples occurred 17 days after injury diagnosed as Stress ulcer upper gastrointestinal bleeding. Example 2 Male, 36 years old, 60% of thermal burns Third degree 45% Anti-shock, anti-infective treatment, sudden abdominal pain 18 days after injury, a lot of tarry stools, the diagnosis of stress ulcer upper gastrointestinal bleeding. Two cases were severe burns, abdominal pain occurred in about two weeks after injury, asphalted and the amount of repeated bleeding. Among them, the operation was performed 6 times in total in Example 1, and a large amount of tarry stool appeared after 4 times.