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[目的]分析危重症患者腹泻的原因、防治及治疗方法。[方法]对某院2008年8月~2010年8月收治的568例危重患者的临床资料进行回顾性分析。[结果]112例患者出现腹泻,每日3~20次,以水样便、糊状便为主。腹泻发生率为19.7%(112/568),肠内营养性腹泻56例,占50%;抗生素相关性腹泻26例;占23.2%;机械通气性腹泻18例,占16.07%;肠道感染8例,占7.1%;与胃肠动力药物应用有关的腹泻4例,占3.6%。[结论]腹泻在危重病人中发生率较高,为减少腹泻的发生,应尽早采取合理的干预措施,尽早处理。
[Objective] To analyze the causes, prevention and treatment of diarrhea in critically ill patients. [Methods] The clinical data of 568 critically ill patients admitted from August 2008 to August 2010 in a hospital were analyzed retrospectively. [Results] 112 cases of patients with diarrhea, 3 to 20 times daily to watery, paste-based. The incidence of diarrhea was 19.7% (112/568), enteral nutrition diarrhea was 56 (50%), antibiotic-associated diarrhea was 26 (23.2%), mechanical ventilation diarrhea was 18 (16.07%), intestinal infection Cases, accounting for 7.1%; gastrointestinal motility drug-related diarrhea in 4 cases, accounting for 3.6%. [Conclusion] The incidence of diarrhea is high in critically ill patients. To reduce the incidence of diarrhea, reasonable interventions should be taken as soon as possible and treated as soon as possible.