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re:首先合十,祈求诸神佛菩萨保佑橙子一切平安...
首先合十,祈求诸神佛菩萨保佑橙子一切平安。
今天刚好看到一篇文章,涉及到脑外伤引起胃肠道出血的,用抗酸剂加以治疗的研究报告。我不是学医的,没看全文,也不明白其中的道理。文章是很老的(1978年发表),原文是日文的。不过我还是想把摘要作为一条信息贴在这里,哪怕能有那么一点点儿帮助,也是好的。
http://ci.nii.ac.jp/naid/110002280991/en
Abstract : Evaluation of the Antacid Buffer Therapy for Massive Gastrointestinal Bleeding following Severe Brain Damage [in Japanese]
The purpose of this report is to analyze the difference in occurence of massive gastrointestinal bleeding caused by severe brain damage between 125 cases treated preventively by antacid buffer (Maalox【○!R】)therapy and 387 cases without antacid treatment.The antacid buffer therapy consists of complete neutralization of gastric acid with antacid buffer (Maalox【○!R】).Maalox【○!R】 is infused intermittently through the gastric tube and gastric juice was aspirated through the tube to maintain the pH of the aspirate at 7.0 during one week after the onset of the original disease. Among 125 patients,43 cases were of traumatic intracerebral hematoma, 38 cases of ruptured aneurysm, and 44 cases of hypertensiveintracerebral hematoma.In the group treated by antacid therapy only three cases developed the uncontrolable massive gastrointestinal bleeding; one of them had the bleeding following shock caused by severe infection, and in other 2 cases the pH of gastric juce could not be kept nutralized in spite of antacid buffer therapy. In 97 per cent of the group treated by antacid buffer therapy, massive gastrointestinal bleeding was prevented.On the other hand, 47 cases (12.1%) out of 387 cases without antacid buffer therapy had massive gastric bleeding and died. In hypertensive intracerebral hematoma, 24.6% of them died because of massive gastric bleeding,and 12.8% of the cases of ruptured aneurysm and 8.2% of severe head injury had untreatable gastric bleeding within one week from the onset of original disease.For the prevention of massive gastrointestinal bleeding caused by severe brain damage following hypertensive cerebral hematoma, ruptured aneurysm and severe head injury, the antacid buffer therapy is effective reducing the occurence rate to less than 3 per cent. This result also suggests that the presence of gastric hydrochloric acid plays an important role in the development and perpetuation of gastrointestinal bleeding. |
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