重型颅脑损伤后应激性消化道出血发病机理分析与护理方法探讨

目的分析重型颅脑损伤后应激性消化道出血的发病机理，探讨减少消化道出血的护理措施。方法回顾性分析2003年2月至2007年12月178例重度颅脑损伤中33例应激性消化道出血患者的护理过程，总结护理经验。结果重型颅脑损伤后发生应激性消化道出血33例（发生率18．5％），发生应激性消化道出血病死亡7例（病死率21．2％）。结论密切观察病情变化，早期监测上消化道出血，加强消化道护理，合理膳食，能减少应激性消化道出血的发生率和病死率。

Pathogenesis Analysis on Stress Gastrointestinal Hemorrhage after Severe Head Injury and Discussion of the Nursing Measure

Objective To analyze the pathogenesis of stress gastrointestinal hemorrhage after severe head injury and to discuss the nursing measures.Methods A retrospective analysis was made to the nursing of 33 cases with stress gastrointestinal hemorrhage out of 178 cases of severe head injury from Feb.,2003 to Dec.,2007.Results The occurrence of stress gastrointestinal hemorrhage after severe head injury was 18.5%(33/178);7 out the 33 cases died.Conclusions Close observation of the changes of the disease,early monitoring of upper gastrointestinal hemorrhage,more gastrointestinal care and reasonable diet can reduce the incidence and mortality of stress gastrointestinal hemorrhage.