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

1.	周秀華. 急救護理學[M]. 2版. 北京: 北京科學技術出版社, 2002: 207-211.
2.	李明鳳, 葉磊. 洗胃技術[M]//臨床護理指南叢書-急診科護理手冊[M]. 北京: 科學出版社, 2011: 247-263.
3.	張開水, 侯德明. 急救洗胃過程中并發上消化道出血的處理體會[J]. 寧夏醫科大學學報, 2009, 31(1): 100-101.
4.	方克美, 楊大明, 常俊. 急性中毒治療學[M]. 南京: 江蘇科學技術出版社, 2002: 217-219.
5.	趙慧霞. 急性有機磷農藥中毒合并上消化道出血30例臨床分析[J]. 吉林醫學, 2010(2): 195-196.
6.	韋春麗. 不同洗胃法的研究[J]. 護理研究, 2005(7): 1133-1134.
7.	王愛敏. 中毒患者洗胃的研究進展[J]. 首都醫藥, 2012(2): 22-23.
8.	周榮榮, 徐秋勝, 陳玲瓏. 針對洗胃技術置管方法的研究進展[J]. 中國實用護理雜志, 2012, 28(z2): 140.
9.	林權, 許湘萍. 兩種口服止血藥治療上消化道出血的療效比較[J]. 海南醫學, 2013, 24(20): 3051-3052.
10.	孫娟. ROCKALL評分在判斷上消化道出血預后中的意義[J]. 淮海醫藥, 2013, 31(6): 486-487.
11.	趙世敏. 急性中毒并發癥分析及護理[J]. 全科護理, 2010, 8(32): 2940.
12.	趙宇偉. Rockall積分在治療上消化道出血中的應用和分析[J]. 中外醫學研究, 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.	黃養能, 顧興生, 王侃. 急性上消化道出血Rockall評分系統的應用及與預后的關系[J]. 中國中西醫結合消化雜志, 2013(10): 520-522.
16.	李偉偉, 廖少玲, 文若蘭. 口服中毒患者洗胃中護理風險的識別及應對[J]. 廣東醫學院學報, 2010(1): 67-70.
17.	任霞. 洗胃并發癥的預防與護理[J]中華現代臨床醫學雜志, 2009(10): 122-123.
18.	鮑傳玲. 中脈沖式封管在靜脈留置針中應用的臨床研究及分析[J]. 中華現代護理學雜志, 2010(2): 165-166.
19.	朱云徽. 脈沖式封管與普通式封管對于深靜脈置管的應用比較[J]. 中國醫學創新, 2011(4): 131-132.
20.	賀建東. 冰凍生理鹽水沖洗胃對上消化道急性大出血的止血效果觀察(附66例沖洗結果報告)[J]. 中級醫刊, 1979(6): 33-34.

1. 周秀華. 急救護理學[M]. 2版. 北京: 北京科學技術出版社, 2002: 207-211.
2. 李明鳳, 葉磊. 洗胃技術[M]//臨床護理指南叢書-急診科護理手冊[M]. 北京: 科學出版社, 2011: 247-263.
3. 張開水, 侯德明. 急救洗胃過程中并發上消化道出血的處理體會[J]. 寧夏醫科大學學報, 2009, 31(1): 100-101.
4. 方克美, 楊大明, 常俊. 急性中毒治療學[M]. 南京: 江蘇科學技術出版社, 2002: 217-219.
5. 趙慧霞. 急性有機磷農藥中毒合并上消化道出血30例臨床分析[J]. 吉林醫學, 2010(2): 195-196.
6. 韋春麗. 不同洗胃法的研究[J]. 護理研究, 2005(7): 1133-1134.
7. 王愛敏. 中毒患者洗胃的研究進展[J]. 首都醫藥, 2012(2): 22-23.
8. 周榮榮, 徐秋勝, 陳玲瓏. 針對洗胃技術置管方法的研究進展[J]. 中國實用護理雜志, 2012, 28(z2): 140.
9. 林權, 許湘萍. 兩種口服止血藥治療上消化道出血的療效比較[J]. 海南醫學, 2013, 24(20): 3051-3052.
10. 孫娟. ROCKALL評分在判斷上消化道出血預后中的意義[J]. 淮海醫藥, 2013, 31(6): 486-487.
11. 趙世敏. 急性中毒并發癥分析及護理[J]. 全科護理, 2010, 8(32): 2940.
12. 趙宇偉. Rockall積分在治療上消化道出血中的應用和分析[J]. 中外醫學研究, 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. 黃養能, 顧興生, 王侃. 急性上消化道出血Rockall評分系統的應用及與預后的關系[J]. 中國中西醫結合消化雜志, 2013(10): 520-522.
16. 李偉偉, 廖少玲, 文若蘭. 口服中毒患者洗胃中護理風險的識別及應對[J]. 廣東醫學院學報, 2010(1): 67-70.
17. 任霞. 洗胃并發癥的預防與護理[J]中華現代臨床醫學雜志, 2009(10): 122-123.
18. 鮑傳玲. 中脈沖式封管在靜脈留置針中應用的臨床研究及分析[J]. 中華現代護理學雜志, 2010(2): 165-166.
19. 朱云徽. 脈沖式封管與普通式封管對于深靜脈置管的應用比較[J]. 中國醫學創新, 2011(4): 131-132.
20. 賀建東. 冰凍生理鹽水沖洗胃對上消化道急性大出血的止血效果觀察(附66例沖洗結果報告)[J]. 中級醫刊, 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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