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目的 :探讨尿毒症合并上消化道大出血的治疗。方法 :对 96例尿毒症合并上消化道大出血的病例进行分析。结果 :尿毒症合并急性上消化道大出血治疗 5d后 ,紧急透析组 52例中 40例 (76 .9% )出血停止 ,非常紧急透析组 44例中 2 5例 (56 .8% )出血停止(χ2 =4.40 61 ,P <0 .0 5) ;最终分别有 8例 (1 5 .4 % )、1 5例 (34 .1 % )死亡 (χ2 =4.5777,P <0 .0 5)。结论 :尿毒症并上消化道大出血治疗困难 ,死亡率高 ,紧急血液透析可改善预后。
Objective: To investigate the treatment of uremia with upper gastrointestinal bleeding. Methods: 96 cases of uremia with upper gastrointestinal bleeding cases were analyzed. Results: After 5 days of treatment of uremic patients with acute upper gastrointestinal hemorrhage, 40 (76.9%) of the 52 patients in the emergency dialysis group stopped bleeding and 25 (56.8%) of the 44 patients in the emergency dialysis group stopped bleeding χ2 = 4.4061, P <0.05). In the end, 8 cases (15.4%) and 15 (34.1%) died respectively (χ2 = 4.5777, P <0.05). Conclusion: Uremia and upper gastrointestinal bleeding are difficult to treat and mortality is high. Emergency hemodialysis can improve the prognosis.