Experience of multidisciplinary collaboration in the treatment of acute upper gastrointestinal massive hemorrhage

ObjectiveTo observe the therapeutic effects of multidisciplinary collaboration in the treatment of acute upper gastrointestinal massive hemorrhage.

MethodsSeventy-eight patients with acute upper gastrointestinal massive hemorrhage treated with traditional method from November 2016 to November 2017 were set as the control group, and 80 patients treated with multidisciplinary cooperation from December 2017 to December 2018 were set as the observation group.According to the multidisciplinary cooperation treatment model, the emergency department was the center, the intensive care, fluid resuscitation, respiratory support and other rescue measures were provided by the emergency intensive care unit and the multidisciplinary cooperation mode(including the digestive endoscopy, intervention and surgery)was implemented simutaneously.The case characteristics, cure rate, mortality rate and average length of hospital stay in two groups were analyzed.

ResultsIn the control group, there were 62 cases of successful hemostasis, and the cure rate was 79.49%.In the observation group, there were 73 cases of successful hemostasis, and the cure rate was 91.25%.The differences of the successful hemostasis and cure rate were statistically significant(P < 0.05).The mean length of hospital stay in control group(16.95±7.33)d was longer than that in observation group(13.50±8.81)d(P < 0.05).

ConclusionsMultidisciplinary collaboration therapy can improve the survival rate of patients, shorten the average length of hospital stay, and improve the prognosis of patients.