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目的探讨危重病患者并发消化道出血的危险因素和治疗对策。方法回顾性分析2014年1月~2015年1月65例危重病并发消化道出血患者的临床资料进行,对其发病危险因素进行总结,并给予2015年1月~2016年1月59例危重病并发消化道出血的患者有针对性的治疗方案。观察效果。结果休克、中枢系统衰竭、凝血功能异常以及既往消化道溃疡史为危重病患者并发消化道出血的独立危险因素(P<0.05)。干预后患者治疗总有效率91.53%明显高于干预前的75.38%,住院时间(10.36±1.51)d明显短于干预前的(15.35±2.34)d(P<0.05)。结论休克、中枢系统衰竭、凝血功能异常以及既往消化道溃疡史为危重病患者并发消化道出血的独立危险因素,给予患者有针对性的治疗,能够有效提高患者的治疗效果,减轻患者的痛苦。
Objective To explore the risk factors and treatment of gastrointestinal bleeding in critically ill patients. Methods The clinical data of 65 critically ill patients with gastrointestinal bleeding from January 2014 to January 2015 were analyzed retrospectively. The risk factors were summarized and 59 critically ill patients were recruited from January 2015 to January 2016 Patients with concurrent gastrointestinal bleeding have targeted treatment options. Observe the effect. Results The history of shock, central nervous system failure, coagulation dysfunction and previous history of peptic ulcer were independent risk factors of gastrointestinal bleeding in critically ill patients (P <0.05). The total effective rate of patients after treatment was 91.53%, which was significantly higher than that before intervention (75.38%). The length of hospital stay (10.36 ± 1.51) d was significantly shorter than that before intervention (15.35 ± 2.34) d (P <0.05). Conclusions Shock, central nervous system failure, abnormal coagulation function and previous history of gastrointestinal ulcer are independent risk factors of gastrointestinal bleeding in critically ill patients. Patients are given targeted therapy, which can effectively improve the therapeutic effect and alleviate the suffering of patients.