46 cases of stress ulcer case report _4926

ncycgdxhl · Wysłany: Sob 22:32, 19 Mar 2011

46 cases of stress ulcer Case Report

Formed compared with 3 to discuss the incidence of super-strength training for 3.1 cause serious trauma, surgery, extensive burns, head injury, severe infection can cause the body is in stress, may be secondary to gastroduodenal mucosal congestion, edema, erosion or acute necrotic ulcers. It is different from common stomach, duodenum ulcer. In recent years, some scholars believe that, according to the pathological changes of stomach and duodenal mucosa, the ulcer is called However, most scholars still use the familiar name of Pathogenesis of most current research shows that stress on the mental stress, anxiety or mood swings are susceptible to gastric, duodenal ulcer disease, its incidence during the war are often increased mouth. Tactical Unit officers and men due to intense exercise, shock noise, fear, trauma, sudden changes in patterns of life and other stimuli, can cause the brain to increase cortical excitability, loss and hypothalamic pituitary axis adrenalin (HPA), the release of a variety should be hormones, recent research found that platelet activating factor (PAr) and other media, such as oxygen radicals, prostaglandins,[link widoczny dla zalogowanych], leukotrienes, thromboxane (Tx),[link widoczny dla zalogowanych], endothelin. , Stress early motilin (MTL) and other factors involved in the old due to the stress response for many reasons, and then trigger the brain gut syndrome. The group of 46 patients, in order to obtain excellent results when the assessment of psychological stress, especially during the 5km cross-country, military training exercises and powerful, the spirit of high tension, increasing training intensity, and the army officers and soldiers are not used to the environment, mental or physical are in stress, it is prone to stress ulcer. 3.2 Treatment characteristics of stress ulcer induced by military training, should be routine treatment, were given for mild H-blockers, proton pump inhibitor with severe oral mucosal protective agent that when used with the right to stop bleeding agent, ineffective to carry out the endoscopic treatment of patients with more severe treatment ineffective additive treatment with somatostatin. The patients were obtained by the above treatment markedly. Of the officers and men under stress in as soon as possible and adapt to stress relieve, to give psychological and behavioral intervention, the physical and mental relaxation reduces sympathetic activity, is conducive to energy accumulation and functional recovery, improve the body's internal environment reduces stress, Therefore, given the right psychological and behavioral intervention,[link widoczny dla zalogowanych], is conducive to the healing of stress ulcer [8,91. 3.3 Preventive measures to reduce the stress response can not only improve gastrointestinal dysfunction, also may improve microcirculation is systemic. Removed as soon as possible stress factors, systemic nutritional support to prevent stress ulcer bleeding fundamental measures. (1) adhere to the scientific and rational development of training programs, follow the training of medical service principle. (2) Note distinction between mental and physical training personnel differences, according to their personalities. (3) a reasonable pace and intensity of training to master, follow the principle of gradual and orderly progress; improve the psychological quality of officers and men, the main objective and systematic evaluation of the psychological state of the level of training, according to the different psychological characteristics of individuals,[link widoczny dla zalogowanych], through psychological counseling, training and maintenance of a sound personality and ability to adapt , the officers and men of the lack of exercise should be arranged adaptive training,[link widoczny dla zalogowanych], to reduce stress injury; to improve the working and living environment for the trainees to prepare physically and mentally well enough to avoid excessive tension and emotional exhaustion over the body. 【
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