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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。方法回顾分析135例脑出血患者的临床经过,按脑出血部位、出血量、出血有无破入脑室系统分组,分别比较上消化道出血发生率、病死率、出血部位及出血量与预后的关系。结果脑出血合并上消化道出血34例(25.2%),上消化道出血发生率分别为基底节区出血并破入脑室系统组36.4%,丘脑出血组31.6%,脑干出血组29.4%,脑叶出血组20%和局部基底节区出血组16.1%。合并上消化道出血组病死率为46.7%,无上消化道出血组病死率为17%。结论脑出血并上消化道出血常见于丘脑、脑干部位,与出血量大有关,脑出血并上消化道出血提示预后不良,病死率高。
Objective To investigate the relationship between the bleeding site and the incidence of hemorrhage and the incidence of upper gastrointestinal bleeding in patients with hypertensive intracerebral hemorrhage. Methods Retrospective analysis of 135 cases of cerebral hemorrhage in patients with clinical experience, according to the site of cerebral hemorrhage, bleeding, whether or not bleeding into the ventricular system group were compared the incidence of upper gastrointestinal bleeding, mortality, bleeding sites and the relationship between the amount of bleeding and prognosis . Results Cerebral hemorrhage complicated with upper gastrointestinal bleeding in 34 cases (25.2%), upper gastrointestinal bleeding were basal ganglia hemorrhage and break into the ventricular system group 36.4%, thalamic hemorrhage group 31.6%, brainstem hemorrhage group 29.4%, brain 20% of leaf hemorrhage group and 16.1% of local basal ganglia hemorrhage group. The mortality rate was 46.7% in the upper gastrointestinal bleeding group and 17% in the upper gastrointestinal bleeding group. Conclusions Cerebral hemorrhage and upper gastrointestinal bleeding are common in the thalamus and brain stem, which are related to the large amount of bleeding. Cerebral hemorrhage and upper gastrointestinal bleeding suggest poor prognosis and high mortality.