摘要
目的掌握急性脑卒中患者并发上消化道出血的临床特点。方法对763例急性脑卒中患者并发上消化道出血的情况进行调查研究。结果在763例患者中,急性脑出血并发上消化道出血的发生率明显高于急性脑梗死组,病变累及脑干时尤为突出。伴意识障碍的患者并发上消化道出血的发生率较高。脑卒中并发上消化道出血发生时间多在发病后24h内出现,亦可发生于病程10d左右。并发上消化道出血的脑卒中患者死亡率明显高于未并发上消化道出血者。结论脑卒中并发上消化道出血预后不良,早期应采取措施,积极预防。
Objective To grasp the clinical feature of acute cerebral stroke complicated by upper gastrointestinal hemorrhage. Methods Clinical analysis of 763 cases of acute cerebral stroke complicated by upper gastrointestinal hemorrhage. Results Of the 763 cases, the incidence rate of upper gastrointestinal hemorrhage was higher in the cases of acute cerebral hemorrhage than that of acute cerebral infarction, especially in the cases of brain stem stroke. The incidence rate of upper gastrointestinal hemorrhage is higher in patients,with conscious disturbance. The cases of acute cerebral stroke complicated by upper gastrointestinal hemorrhage most happen,within 24 hours, while some cases happened 10 days or so. The incidents rate of death was especially higher in patients of acute cerebral stroke complicated by upper gastrointestinal hemorrhage than in patients non-complicated by upper gastrointestinal hemorrhage. Conclusion The patients of acute cerebral stroke complicated by upper gastrointestinal hemorrhage have a poor prognosis, preventive measures should be made at early stage.
出处
《中国实用神经疾病杂志》
2007年第1期51-53,共3页
Chinese Journal of Practical Nervous Diseases
关键词
脑卒中
上消化道出血
Cerebral stroke
Upper gastrointestinal hemorrhage
