论文部分内容阅读
目的探讨小剂量低压力灌洗在急性中毒所致消化道出血患者中的应用效果。方法收集2011年1月-2012年12月收治的急性中毒致消化道出血患者的临床资料。根据其是否接受洗胃治疗,将患者分为单纯接受传统治疗措施的对照组和接受小剂量低压力灌洗治疗的观察组。观察组和对照组患者的年龄、性别和服毒量等指标之间的差异无统计学意义。记录患者的年龄、中毒后至救治的时间、服毒量以及休克情况(血压、脉搏)和并发症等情况。根据患者的年龄、休克情况以及并发症情况,进行ROCKALL评分,以评估两组患者经治疗后的死亡危险程度之间的差异。结果观察组高、中死亡危险患者的构成比低于对照组,差异有统计学意义(P<0.05)。结论小剂量低压力灌洗能一定程度上改善急性中毒所致消化道出血患者的预后。
Objective To investigate the effect of low-dose low-pressure lavage in patients with gastrointestinal hemorrhage caused by acute poisoning. Methods The clinical data of patients with gastrointestinal bleeding caused by acute poisoning collected from January 2011 to December 2012 were collected. According to whether or not they received gastric lavage treatment, the patients were divided into the control group receiving traditional treatment only and the observation group receiving low-dose lavage treatment. There was no significant difference between the observation group and the control group in the indexes of age, sex and poisoning. Record the patient’s age, treatment time after poisoning, taking poison and shock conditions (blood pressure, pulse) and complications. The ROCKALL score was based on the patient’s age, shock, and complication to assess the difference in the risk of death after treatment between the two groups. Results In the observation group, the constituent ratios of patients at high risk and death risk were lower than those in the control group (P <0.05). Conclusion Low-dose low-pressure lavage can improve the prognosis of patients with gastrointestinal hemorrhage caused by acute poisoning to a certain extent.