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目的总结肝硬化合并上消化道出血的急救体会。方法将116例肝硬化合并上消化道出血患者随机分成观察组和对照组各58例,对照组采用垂体后叶素和埃索美拉唑治疗,观察组在对照组治疗的基础上应用奥曲肽治疗。比较2组的治疗效果。结果观察组总有效率为100.0%高于对照组的84.5%(P<0.05),上消化道出血止血时间为(19.7±9.1)h低于对照组的(31.7±6.4)h(P<0.05)。结论在肝硬化合并上消化道出血急救处理中,要及时判断患者的出血量,出血部位,观察生命体征,及时补液输血,联合应用具有协同作用的止血药物,争分夺秒的救治患者,才能提高抢救成功率。
Objective To summarize the experience of emergency treatment of cirrhosis combined with upper gastrointestinal bleeding. Methods One hundred and sixty-six patients with cirrhosis and upper gastrointestinal bleeding were randomly divided into observation group (58 cases) and control group (58 cases). The control group was treated with pituitrin and esomeprazole. The observation group was treated with octreotide . Compare the treatment effect of 2 groups. Results The total effective rate in the observation group was 100.0% higher than that in the control group (84.5%, P <0.05), and the bleeding time in the upper gastrointestinal tract was (19.7 ± 9.1) h lower than that in the control group (31.7 ± 6.4) h ). Conclusions In emergency treatment of cirrhosis with upper gastrointestinal hemorrhage, it is necessary to timely determine the patient’s bleeding volume, bleeding site, observe the vital signs, prompt rehydration blood transfusion, combined application of synergistic hemostatic drugs, race against time to improve the rescue rate.