上消化道出血伴发缺血性心肌损伤113例临床分析

被引:3
作者
文玉
李晓燕
罗娟
戴薇
张磊
机构
[1] 昆明医学院第一附属医院消化内科
关键词
上消化道出血; 缺血性心肌损伤; 分析;
D O I
暂无
中图分类号
R575.2 [肝硬变];
学科分类号
1002 ; 100201 ;
摘要
目的探讨上消化道出血(upper gastrointestinal bleeding,UGIB)伴发缺血性心肌损伤(ischemic myocardial injury,IM)I的发病机制、临床表现、相关检查、治疗及预后.方法回顾性分析上消化道出血伴发缺血性心肌损伤113例.结果 113例中66例(58.40%)无典型心肌损伤临床表现,病情好转出院97例(85.84%),死亡16例(14.16%).结论当上消化道出血与缺血性心肌损伤并存时,心肌损伤的表现往往不典型而易被忽视,因此及时发现不典型心肌损伤的相关表现,对于正确处理上消化道出血与心肌损伤具有重要的意义.
引用
收藏
页码:105 / 107
页数:3
相关论文
共 4 条
[1]   Early use of omeprazole benefits patients with acute myocardial infarction [J].
Gao, Qian-Ping ;
Sun, Yan ;
Sun, Yu-Xue ;
Wang, Lan-Feng ;
Fu, Lu .
JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2009, 28 (03) :282-287
[2]  
Factors associated with myocardial infarction after emergency endoscopy for upper gastrointestinal bleeding in high-risk patients: a prospective observational study[J] . Ching-Tai Lee,Shih-Pei Huang,Tsu-Yao Cheng,Tsung-Hsien Chiang,Chi-Ming Tai,Wei-Chih Su,Chien-Hua Huang,Jaw-Town Lin,Hsiu-Po Wang.American Journal of Emergency Medicine . 2007 (1)
[3]   Risk of major gastrointestinal bleeding with aspirin [J].
Isles, C ;
Norrie, J ;
Paterson, J ;
Ritchie, L .
LANCET, 1999, 353 (9147) :148-149
[4]   ELECTROCARDIOGRAPHIC ABNORMALITIES SUGGESTIVE OF MYOCARDIAL-ISCHEMIA DURING UPPER GASTROINTESTINAL-BLEEDING [J].
COLLERAN, JA ;
PAPADEMETRIOU, V ;
NARAYAN, P ;
LU, D ;
FLETCHER, RD .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (04) :312-314