Gastrointestinal bleeding after neurosurgical care.docVIP

 PAGE \* MERGEFORMAT 7 Gastrointestinal bleeding after neurosurgical care Stress ulcer is a common surgical complication of traumatic disorders, often complicated with upper gastrointestinal bleeding in patients with life-threatening. Neurosurgery on patients with gastrointestinal bleeding is a common perioperative complications, the light asymptomatic, may affect the rehabilitation of patients with severe and life. 1 neurosurgical patients because of upper gastrointestinal bleeding and influencing factors Stress ulcer is a general stress response of local performance, its mechanisms involved in neuroendocrine disorders, gastric mucosal barrier dysfunction and the role of mucosal damage relative enhancement factors. Severe head injury patients are more prone to the occurrence of stress ulcer . sooner or later, enteral nutrition can improve serum albumin levels and reduce the incidence of stress ulcer. infection and shock can also increase gastrointestinal mucosal ischemia, hypoxia, mechanical ventilation can cause bile reflux, which can make the digestive tract hemorrhage. craniocerebral injury hypothalamic dysfunction is upper gastrointestinal bleeding in neurosurgical patients the most common cause of brain stem injury is another important reason, and because of gastrointestinal bleeding on the brain stem injury caused by the general course of the disease long and difficult to control, recurrent, should pay particular attention. Liu Nan, Hui Charn-peak by the 1986 cases of traumatic and postoperative clinical data retrospective study found that post-traumatic effects of stress ulcer bleeding were the main factors are: (1) age, (2) injury severity, (3 ) heart, lung and other chronic underlying diseases, (4) elevated blood glucose, (5) hypertension, (6) feeding conditions. 2 patients after neurosurgery in the care of upper gastrointestinal bleeding 2.1 neurosurgical patients after the routine care of upper gastrointestinal bleedi