CAJ | 학술논문

目的：探讨颅脑外伤并发上消化道出血的早期诊断及治疗方法。方法对46例颅脑外伤并发上消化道出血患者，确诊后分别给予药物治疗、胃镜下止血治疗、介入栓塞术治疗及手术治疗。回顾性分析患者的临床资料。结果159例颅脑外伤患者中，并发上消化道出血46例。其中经药物治愈36例，经胃镜下止血治愈2例，介入栓塞治愈2例。手术治愈6例，因颅脑外伤并多器官功能衰竭死亡1例。结论对颅脑损伤导致上消化道出血的患者，早期诊断、早期预防和个体化综合治疗，可以有效控制病情变化。
목적：탐토로뇌외상병발상소화도출혈적조기진단급치료방법。방법대46례로뇌외상병발상소화도출혈환자，학진후분별급여약물치료、위경하지혈치료、개입전새술치료급수술치료。회고성분석환자적림상자료。결과159례로뇌외상환자중，병발상소화도출혈46례。기중경약물치유36례，경위경하지혈치유2례，개입전새치유2례。수술치유6례，인로뇌외상병다기관공능쇠갈사망1례。결론대로뇌손상도치상소화도출혈적환자，조기진단、조기예방화개체화종합치료，가이유효공제병정변화。
Objective To discuss early diagnosis and treatment methods for traumatic brain injury complicated by gastroin-testinal bleeding .Methods For patients with gastrointestinal bleeding in 46 patients with craniocerebral trauma complicated with upper digestive were given drug treatment ,diagnosis after endoscopic hemostasis therapy ,interventional embolization treatment and operation treatment .The clinical data were retrospectively analyzed .Results There were 159 cases of traumatic brain injury patients ,of which 46 cases with upper gastrointestinal bleeding .Of which 36 cases were cured by the drug ,after endoscopic hemostasis cured two cases ,embolization cured two cases .Six cases were cured ,because brain injury and multiple organ failure and one case of death .Conclusion The brain injury causes of patients with upper gastrointestinal bleeding ,early diagnosis ,early prevention and individualized comprehensive treatment ,and can effectively control the disease changes .