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消化道出血是老年急性脑血管病严重并发症,治疗困难,病死率高。近年来有增加趋势,现将我院收治46例就其发生率、治疗、预后加以浅析。 1 临床资料 1.1 一般资料 1987～1997年收治老年急性脑血管病270例,脑出血156例(58％),脑梗塞82例(30％),蛛网膜下腔出血32例(12％),并发上消化道出血46例,其中男36例,女12例,年龄60～86岁,平均年龄71岁。呕血30例,便血8例,呕血、便血同时存在的8例。 1.2 诊断标准 急性脑血管病的诊断皆符合中华医学会第二届全国脑血管病专题会议所修订的标准,且头颅CT证实,部分MRI及腰穿脑积液检查,患者入院后均有呕血、便血或两者兼有,无溃疡病史。
Gastrointestinal hemorrhage is a serious complication of elderly acute cerebrovascular disease, treatment is difficult, high mortality. In recent years, there is an increasing trend, now 46 cases admitted to our hospital on its incidence, treatment, prognosis to be analyzed. 1 Clinical data 1.1 General Information 1987 to 1997 admitted to the elderly with acute cerebrovascular disease in 270 cases, 156 cases of cerebral hemorrhage (58%), cerebral infarction in 82 cases (30%), subarachnoid hemorrhage in 32 cases (12%), complicated by 46 cases of upper gastrointestinal bleeding, including 36 males and 12 females, aged 60 to 86 years, mean age 71 years. Hematemesis in 30 cases, 8 cases of hematochezia, hematemesis, blood in the stool at the same time in 8 cases. 1.2 diagnostic criteria for the diagnosis of acute cerebrovascular disease are in line with the Second National Conference of Chinese Medical Society of cerebrovascular disease as revised standards and head CT confirmed that some MRI and lumbar puncture hydrocephalus, patients have vomiting after admission, Blood in the stool or both, no history of ulcer.