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目的了解合并消化道出血的急性冠状动脉综合征患者临床治疗手段及临床效果。方法纳入于2010年-2015年期间本院收治112例急性冠脉综合征患者为研究对象,且所有患者均合并消化道出血症状,对此类患者相关临床资料数据进行回顾性归纳分析,总结临床对此类患者制定治疗方案时应注意事项以及药物选择。结果治疗后有6例患者出现死亡事件,为ST段抬高型心肌梗死,死因为泵衰竭;余下患者均顺利完成治疗且于治疗后3周内病情好转出院;存在黑便症状患者治疗后3-5天期间大便转黄,所有患者治疗后7天进行大便潜血试验,均提示转为阴性;出院后继续给予药物控制治疗,对其进行平均8个月随访,无患者出现活动性出血。结论急性冠状动脉综合征合并消化道出血患者病情相对复杂,在对患者制定治疗方案时应清楚病情控制的急迫性并针对性的进行干预,全方面保障患者临床治疗方案的有效性,同时也要确保患者接受治疗后的安全性。
Objective To understand the clinical treatment and clinical effect of patients with acute coronary syndrome complicated by gastrointestinal bleeding. Methods A total of 112 patients with acute coronary syndrome admitted to our hospital from 2010 to 2015 were enrolled in this study. All patients had gastrointestinal bleeding symptoms. The clinical data of these patients were retrospectively summarized and summarized The treatment of such patients should pay attention to matters needing attention and drug choice. Results After the treatment, 6 patients died of ST-segment elevation myocardial infarction, the cause of death was pump failure; the rest of the patients were successfully treated and discharged within 3 weeks after treatment. The patients with melena symptoms after treatment 3 The stool was turned yellow during the first 5 days. All the patients were tested for fecal occult blood 7 days after the treatment, all of them turned negative. After discharge, they were given drug control treatment and were followed up for an average of 8 months without any active bleeding. Conclusions The patients with acute coronary syndrome complicated with gastrointestinal bleeding are relatively complicated. When making the treatment plan, the patients should be aware of the urgency of the condition control and intervene in order to ensure the effectiveness of the clinical treatment plan. Ensure patient safety after treatment.