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目的:通过对61例重型脑伤合并消化道应激性溃疡出血的内科综合治疗,评价其疗效在治疗中的地位。方法:对61例重型脑伤合并消化道应激性溃疡出血的患者进行内科综合治疗,分析其疗效。结果:消化道应激性溃疡出血一般发生在入院的2~6 d,占观察例数的86.9%(53例),出血后,在治疗的两周内痊愈42例(占68.9%)。结论:重型脑伤合并消化道应激性溃疡出血是临床危急重症,积极的了解和祛除病因,持续监控,积极的、有效的综合治疗,能取得满意的疗效,提高痊愈率和患者的生存质量。
Objective: To evaluate the therapeutic effect of 61 cases of severe brain injury combined gastrointestinal stress ulcer bleeding medical treatment. Methods: 61 cases of severe brain injury with gastrointestinal stress ulcer bleeding in patients with comprehensive medical treatment, analysis of its efficacy. Results: Gastrointestinal ulcer bleeding generally occurred 2 to 6 days after admission, accounting for 86.9% of the observed cases (53 cases). After bleeding, 42 cases (68.9%) recovered within two weeks of treatment. Conclusion: Severe brain injury complicated with gastrointestinal stress ulcer bleeding is a critical clinical emergency, and actively understand and eliminate the cause, continuous monitoring, positive and effective comprehensive treatment, can achieve satisfactory results, improve the cure rate and quality of life of patients.