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Omeprazole to prevent high-risk patients experience stress ulcer
Omeprazole to prevent high-risk patients experience stress ulcer
Of: Wang Shian, Munch, Zhang Xinmin, Jin Ruifeng, Zhang Longjian
[Abstract] Objective To summarize the prevention of stress ulcer in high-risk patients experience after surgery. Methods Retrospective analysis of 2005-2008 in our hospital to prevent the clinical treatment of 61 patients. Results 61 cases of prophylactic treatment with omeprazole no case stress ulcer, and 3 patients who did not use stress ulcer occurred. Conclusion omeprazole in the prevention of stress ulcer in high risk patients has a distinct role.
[Keywords:] prevention, high risk; stress ulcer; omeprazole
Stress ulcer is a serious complication after surgery is one, especially for high-risk (elderly, critically ill patients with a high incidence, the occurrence of bleeding in patients with life-threatening. Our hospital from 2005 to 2008 were treated 64 cases of elderly patients with severe . including 3 cases of postoperative stress ulcer, and the remaining 61 patients using omeprazole, preventive treatment, without any case of stress ulcer. now report the treatment experience is as follows.
1 Clinical data
1.1 General information on 64 patients, male 40 cases, 24 females, aged 24 to 87 years, mean 60 years, the occurrence of stress ulcer surgery are acute obstructive suppurative cholangitis in 1 case, and gallstone incarcerated suppurative cholecystitis in 2 cases, respectively, in the first 3 days after the first 5 days, the bleeding, omeprazole infusion to protect the gastric mucosa, recovered after symptomatic treatment expansion, and the remaining 61 patients with acute obstructive suppurative biliary 6 cases, and incarcerated gallstone cholecystitis in 15 cases, 20 cases of gallstone cholecystitis, splenic rupture bleeding, 2 cases of liver hydatid ruptured into the bile duct in 4 cases, hepatic alveolar hydatid radical resection in 3 cases, hepatocytes particles outside of hydatid cyst in 6 cases a complet
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