影响创伤后应激性溃疡出血的因素
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刘楠

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Factors of influence in post-traumatic stress ulcer bleeding
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    摘要:

    目的:探讨影响创伤(含手术)后应激性溃疡出血的因素。
    方法:回顾性分析近5年来收治的1 986例创伤和手术后患者的临床资料,将其中发生应激性溃疡出血病例与未发生病例对比分析。
    结果:创伤严重者应激性溃疡出血发生率明显高于创伤较轻者(P<0.01),合并糖尿病、心肺病及年龄≥60岁患者应激性溃疡出血发生率明显高于无糖尿病、心肺病及年龄<60岁者(P<0.05)。
    结论:创伤后应激性溃疡出血的发生,决定于创伤程度、伤者年龄、基础疾病及救治情况等综合因素。

    Abstract:

    Abstract:Objective:To investigate the factors of influence in post-traumatic stress bleeding.
    Methods :The clinical data of 1986 trauma patients and postoperative patients in recent 5 years were studied retrospectively, and cases with or without stress ulcer bleeding were comparatively analyzed.
    Results:The incidence of stress ulcer bleeding in cases with serious injury was significantly higher than in those with mild injury (P<0.01).The incidence of stress ulcer bleeding in patients with diabetes, heart and lung disease, and patients ≥60 years old was significantly higher than those without diabetes, heart and lung disease, and patients ≤60 years old (P<0.05).
    Conclusions:The post-traumatic stress ulcer bleeding is determined by combined factors including injury severity(ISS), patients′ age, underlying diseases and treatment methods.

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刘楠,许赞峰.影响创伤后应激性溃疡出血的因素[J].中国普通外科杂志,2008,17(9):17-913.
DOI:10.7659/j. issn.1005-6947.2008.09.017

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  • 在线发布日期: 2008-09-25