Prevention and Care of Stress Ulcer Complicated by Subarachnoid Hemorrhage
Subarachnoid hemorrhage is a common hemorrhagic cerebrovascular disease in clinical practice,which can be divided into two types:spontaneous and traumatic.Spontaneous subarachnoid hemorrhage is the rupture of vascular lesions in the brain floor or surface,and blood enters the subarachnoid space.Patients with acute onset,high disability and mortality rates,often experience complications such as recurrent bleeding,cerebral vasospasm,acute hydrocephalus,and epileptic seizures in the early stages.Some critically ill patients often have stress-induced gastrointestinal ulcers and bleeding,and various gastric acid inhibitors and norepinephrine are commonly used in clinical practice for prevention and treatment.The understanding of the pathogenesis of stress ulcers has evolved from early increased gastric acid secretion to impaired protection of the gastrointestinal mucosal barrier,and has now extended to the result of comprehensive factors such as neuroendocrine dysfunction;in terms of treatment,early indwelling of gastric tubes,enteral and parenteral nutrition,application of gastric acid suppressants,gastric mucosal protectants,and comprehensive treatment with traditional Chinese medicine can better prevent and treat stress induced upper gastrointestinal ulcer bleeding on the basis of actively treating the underlying disease.Therefore,how to observe and care for the occurrence of stress ulcers plays a very important role in improving the cure rate of patients with subarachnoid hemorrhage and saving their lives.
万方数据
维普
