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目前已有许多关于休克引起应激性溃疡出血的报道,但对各种休克所导致的上消化道出血的发生率之报道极少。本文对我院五年来所收治的94例各种休克(除外上消化道出血所引起的失血性休克)病例进行了回顾性分析。94例中23例发生上消化道出血,占24.5%;其中感染性休克占32.8%(22/67),出血性休克为6.6%(L/15)。不同类型休克的上消化道出血的发生率、严重性及预后均有差异。感染性休克上消化道出血的发生率明显高于出血性休克,并有统计学差异(P<0.05)。结果表明,休克病人一旦发生严重的上消化道出血,治疗非常困难。因此,休克的早期及其原发病的治疗非常重要。
There are many reports of shock-induced ulcer bleeding in shock, but there is very little report on the incidence of upper gastrointestinal bleeding caused by various shocks. This article retrospectively analyzed 94 cases of various shocks (except hemorrhagic shock caused by upper gastrointestinal bleeding) admitted to our hospital in the past five years. Twenty-three of the 94 patients developed upper gastrointestinal bleeding, accounting for 24.5%. Septic shock was found in 32.8% (22/67) and hemorrhagic shock was 6.6% (L / 15). Different types of shock on the incidence of upper gastrointestinal bleeding, the severity and prognosis are different. The incidence of upper gastrointestinal bleeding in septic shock was significantly higher than that in hemorrhagic shock with statistical significance (P <0.05). The results show that shock patients in the event of severe upper gastrointestinal bleeding, the treatment is very difficult. Therefore, the early treatment of shock and its primary disease is very important.