The Clinical Usage of Small Dose and Low Pressure Lavage in Gastrointestinal Hemorrhage Induced by Acute Poisoning_West China Medical Journal

Authors：

 LIANGYan , BAIYan ,  ZOULi-qun

Department of Emergency, West China Hospital, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZOULi-qun, Email: zz921221@163.com

Keywords：

Small dose and low pressure lavage; Acute poisoning; Gastrointestinal hemorrhages

DOI：

10.7507/1002-0179.20140316

Video：

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Objective To explore the effects of small dose and low pressure lavage on gastrointestinal hemorrhage induced by acute poisoning. Methods We collected the clinical data of all the patients diagnosed as gastrointestinal hemorrhage induced by acute poisoning treated between January 2011 and December 2012. The patients were divided into two groups: control group and treatment group, according to the different treatments they underwent. The control group received traditional treatment only, while the treatment group received small dose and low pressure lavage as well as the traditional treatment. After recording the ages, poisoning dose, pretreatment time, shock and complications, we evaluated the risk of death by calculating ROCKALL scores. Results The differences of ages, sexes, and poisoning dose between these two groups were not significant. However, the death rate in high and middle risk patients of the treatment group was significantly lower than that of the control group (P<0.05). Conclusion The small dose and low pressure lavage can improve the prognosis of the gastrointestinal hemorrhage induced by acute intoxication.

Citation： LIANGYan, BAIYan, ZOULi-qun. The Clinical Usage of Small Dose and Low Pressure Lavage in Gastrointestinal Hemorrhage Induced by Acute Poisoning. West China Medical Journal, 2014, 29(6): 1034-1036. doi: 10.7507/1002-0179.20140316 Copy

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1. 周秀华. 急救护理学[M]. 2版. 北京: 北京科学技术出版社, 2002: 207-211.
2. 李明凤, 叶磊. 洗胃技术[M]//临床护理指南丛书-急诊科护理手册[M]. 北京: 科学出版社, 2011: 247-263.
3. 张开水, 侯德明. 急救洗胃过程中并发上消化道出血的处理体会[J]. 宁夏医科大学学报, 2009, 31(1): 100-101.
4. 方克美, 杨大明, 常俊. 急性中毒治疗学[M]. 南京: 江苏科学技术出版社, 2002: 217-219.
5. 赵慧霞. 急性有机磷农药中毒合并上消化道出血30例临床分析[J]. 吉林医学, 2010(2): 195-196.
6. 韦春丽. 不同洗胃法的研究[J]. 护理研究, 2005(7): 1133-1134.
7. 王爱敏. 中毒患者洗胃的研究进展[J]. 首都医药, 2012(2): 22-23.
8. 周荣荣, 徐秋胜, 陈玲珑. 针对洗胃技术置管方法的研究进展[J]. 中国实用护理杂志, 2012, 28(z2): 140.
9. 林权, 许湘萍. 两种口服止血药治疗上消化道出血的疗效比较[J]. 海南医学, 2013, 24(20): 3051-3052.
10. 孙娟. ROCKALL评分在判断上消化道出血预后中的意义[J]. 淮海医药, 2013, 31(6): 486-487.
11. 赵世敏. 急性中毒并发症分析及护理[J]. 全科护理, 2010, 8(32): 2940.
12. 赵宇伟. Rockall积分在治疗上消化道出血中的应用和分析[J]. 中外医学研究, 2012(10): 97-98.
13. Barkun AN, Bardou M, Kuipers EJ, et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding[J]. Ann Intern Med, 2010, 152(2): 101-113.
14. Wang CY, Qin J, Wang J, et al. Rockall score in predicting outcomes of elderly patients with acute upper gastrointestinal bleeding[J]. World J Gastroenterol, 2013, 19(22): 3466-3472.
15. 黄养能, 顾兴生, 王侃. 急性上消化道出血Rockall评分系统的应用及与预后的关系[J]. 中国中西医结合消化杂志, 2013(10): 520-522.
16. 李伟伟, 廖少玲, 文若兰. 口服中毒患者洗胃中护理风险的识别及应对[J]. 广东医学院学报, 2010(1): 67-70.
17. 任霞. 洗胃并发症的预防与护理[J]中华现代临床医学杂志, 2009(10): 122-123.
18. 鲍传玲. 中脉冲式封管在静脉留置针中应用的临床研究及分析[J]. 中华现代护理学杂志, 2010(2): 165-166.
19. 朱云徽. 脉冲式封管与普通式封管对于深静脉置管的应用比较[J]. 中国医学创新, 2011(4): 131-132.
20. 贺建东. 冰冻生理盐水冲洗胃对上消化道急性大出血的止血效果观察(附66例冲洗结果报告)[J]. 中级医刊, 1979(6): 33-34.

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West China Medical Journal

The Clinical Usage of Small Dose and Low Pressure Lavage in Gastrointestinal Hemorrhage Induced by Acute Poisoning

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