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本文就我院1986年3月～1988年2月,二年中住院治疗的162例急性心肌梗塞(AMI) 患者中并发上消化道出血10例进行病因分析及总结我们的治疗、护理的体会。 一、病因 结合文献认为,AMI并发上消化道出血属于应激性溃疡范畴,其发病原因可能与以下几点有关:(1)老龄,多器官功能低下,易发生代偿性失调。(2)AMI导致组织灌注不足,胃粘膜屏障受损。(3)AMI病人精神紧张,尤其老年人应激能力低下,易形成应激性溃疡。(4)老年人易产
This article on our hospital from March 1986 to February 1988, two years in hospitalized 162 cases of acute myocardial infarction (AMI) in patients with upper gastrointestinal bleeding in 10 cases analyzed and summarized our treatment, nursing experience. First, the etiology combined with the literature that the AMI complicated by upper gastrointestinal bleeding belong to the category of stress ulcer, the incidence may be related to the following points: (1) old age, multiple organ dysfunction, prone to compensatory disorders. (2) AMI leads to insufficient tissue perfusion and impaired gastric mucosal barrier. (3) AMI patients with mental stress, especially in elderly people with low stress ability, easy to form stress ulcer. (4) elderly people easy to produce