Modern possibilities of prevention of gastrointestinal bleeding in patients with gastric and duodenal stress ulcers

A. A. Sheptulin, S. S. Kardasheva, A. A. Kurbatova
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Abstract

The article discusses the prevention of gastrointestinal bleeding in critically ill patients who are hospitalized in intensive care units (ICU). The main factors contributing to the occurrence of GIB in such patients are considered. The leading place among them is occupied by a stay on artificial ventilation of the lungs for > 48 hours and blood coagulopathy. Patients at high risk of developing GIB need prophylactic administration of proton pump inhibitors, H 2 -blockers, sucralfate, which allows to prevent the occurrence of GIB and improve the prognosis of patients.
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现代预防胃和十二指肠应激性溃疡患者消化道出血的可能性
本文探讨重症监护病房(ICU)重症患者胃肠出血的预防。考虑了导致此类患者发生GIB的主要因素。其中居于首位的是持续进行肺部人工通气。48小时和凝血功能障碍。发生GIB的高危患者需要预防性给予质子泵抑制剂、h2受体阻滞剂、硫硫酸盐,以预防GIB的发生,改善患者的预后。
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