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我院内科重症监护病房1984年3月~1994年6月收治2573例危重儿中发生急性上消化道出血者431例(男308例,女123例。年龄最小34天,最大岁)。病程在3天的发生率70.30%。原发病以严重败血症、重症肺炎、农药/食物中毒、颅内出血、中枢神经系统感染等为主。作者在说明危重儿急性上消化道出血相关危险因素的同时,指出对危重儿抢救要警惕其发生急性上消化道出血潜在可能性,加强临床严密监护和相应检查,及早发现,及时治疗,提高危重儿存活率。
Our hospital internal medicine intensive care unit from March 1984 to June 1994 admitted 2573 cases of acute upper gastrointestinal bleeding in 431 cases (308 males and 123 females, the youngest 34 days, the oldest). Course of disease in the three-day incidence of 70.30%. Primary disease with severe sepsis, severe pneumonia, pesticide / food poisoning, intracranial hemorrhage, central nervous system infections and other mainly. While describing the risk factors related to acute upper gastrointestinal bleeding in critically ill children, the author points out that it is necessary to be vigilant against the potential risk of acute upper gastrointestinal bleeding in critically ill children, to strengthen intensive monitoring and inspection, to find early treatment, to improve the risk of critically ill patients Survival rate of children.