【摘要】颅脑损伤致上消化道出血又称Cushing溃疡,其机制一般认为是丘脑及其下部或脑干结构受到原发性或继发性损害,或在应激状态下植物神经调节功能紊乱所致。应激性上消化道溃疡出血是颅脑外伤后常见的严重并发症,死亡率高达30%～50%,是神经外科医疗护理工作中的一项难题,严密观察病情、精心护理、及时防治对提高患者生存率具有重要意义。

    【关键词】颅脑损伤;激性溃疡;观察

    After head injury, irritability ulcer’s observation and nursing

    Liu Yuxia

    【Abstract】The head injury sends the upper gastrointestinal hemorrhage to call the Cushing ulcer, its mechanism thought generally is the cerebral ganglion and lower part either the brain stem structure receives the primary stage or the sequential harm, or under stress condition nervus autonomici adjustment function disorder result. After the irritability the digestive tract ulcer hemorrhage is the skull flesh wound, the common serious complication, the mortality rate reaches as high as 30%~50%, is in a neurosurgery department medical care work difficult problem, observes the condition, careful nursing, the prompt prevention to raise the patient survival rate strictly to have the important meaning. ......