Clinical analysis of interventional therapy for gastrointestinal hemorrhage complicated by extensive burns

ZHAO Jiangsheng; PEI Yongdong; DING Xiangsheng

doi:10.3969/j.issn.2095-8331.2024.05.008

Abstract：Objective To explore the efficacy of interventional therapy for severe burn patients with gastrointestinal bleeding.Methods A total of 239 patients with severe burns were treated in The First People's Hospital of Lianyungang from January 2020 to July 2024,and 36 of them who suffered gastrointestinal bleeding were included in this study.According to the different treatment methods,21 patients were assigned to the control group and 15 patients were assigned to the research group.The control group received endoscopic treatment,and the research group received interventional vascular embolization.The two groups were compared in terms of the days at the time of onset,bleeding manifestations,blood coagulation function,therapeutic effect,improvement of clinical symptoms,occurrence of rebleeding and complications.Results The percentage of patients with shock was 93.3%(14/15)in the research group and 61.9%(13/21)in the control group,which was statistically different(P<0.05).The percentage of patients who vomited blood was 66.7%(10/15)in the research group and 28.6%(6/21)in the control group,which was statistically different(P<0.05).The time for the patients in the research group to become negative for fecal occult blood test and the time for the return of bowel sounds were less than those of the control group,which were statistically significant(P<0.05).For the treatment effect,the research group had a significant effective rate of 93.3%and an effective rate of 6.7%(1/15),while in the control group they were 52.4%(11/21)and 42.9%(9/21)respectively,the ineffective rate was 4.8%(1/21),and the differences were statistically significant(P<0.05).The incidence of postoperative rebleeding was 6.7%in the research group(1/15),and 38.1%(8/21)in the control group,which was statistically different(P<0.05).Conclusion For patients with severe burns combined with gastrointestinal bleeding,when active arterial bleeding is suspected,interventional vascular embolization is more effective and has a lower incidence of rebleeding compared with endoscopic treatment.