摘要
目的:探讨高血压性脑出血的出血部位、出血量与上消化道出血发生率及预后的关系。方法:采用回顾性分析的方法,对110例脑出血患者是否并发上消化道出血的相关性进行分析,根据脑出血病例在急性期有无合并上消化道出血,将本组患者分成观察组和对照组,比较两组间的脑出血病变特点。结果:上消化道出血发生率分别为壳核出血占47.3%,丘脑出血占21.0%,脑干出血占15.8%,小脑出血13.2%,脑叶出血占2.6%。高血压脑出血合并上消化道出血组病死率为57.9%。结论:脑出血合并上消化道出血常见于壳核、丘脑、脑干部位,与出血量大有关,脑出血合并上消化道出血提示预后不良,病死率高。
Objective:To find out the relations between the cerebral hemorrhage position as well as volume andthe incidence and progresis of the digestive tract hemorrhage in hypertension patients.Method :According to the patientswith upper gastrointestinalbleeding following cerebralhemorrhage or without,110 patients were divided into observation group and controlgroup, and the clinical characteristics of cere-bral hemorrhagewere compared between the two groups. Results:Inc-idence of digestive tract hemorrhage:putaminal hemorrhage was 47.3%, 21.0% in thalamic hemorrhage, 15.8% in brain stem hemorrhage, 13.2% in cerebellar hemorrhage, 2.6% in lobar cerebral hemorrhage1The mortality of digestive tracthemorrhage was 57.9% Conclusions:The cerebral hemorrhage that occurred in putaminal .thalamus and brain stem area is frequentlycomplicated with subsequent digestive tract hemorrhage. Large volume hemorrhage may contribute to complication. In ad-dition, the presence of digestive tract hemorrhage may indicate bad prognosis with high mortality.
出处
《求医问药（下半月）》
2013年第6期70-,72,共2页
Seek Medical and Ask The Medicine
关键词
脑出血
上消化道出血
临床分析
Cerebral hemorrhage
Upper digestive tract hemorrhage
Clinical analysis
