本文介绍1972年1月以来该院收治92例脑血管疾患病人中合并有上消化道出血的9个病例,其中7例为脑溢血,2例为高血压脑病。作者认为有此合并症者大都有高度颅内压增高,提示会有严重后果。治疗上除止血外,应使用甘露醇降低颅内压以解除对间脑的刺激。本文对出血机理作了简要文献复习。 This article describes nine cases of upper gastrointestinal bleeding in 92 patients with cerebrovascular disease admitted to our hospital since January 1972, of which 7 were stroke and 2 were hypertensive encephalopathy. The authors believe that most patients with this complication have a high intracranial pressure, suggesting serious consequences. In addition to hemostasis treatment, mannitol should be used to reduce intracranial pressure to relieve the stimulation of the diencephalon. This article made a brief review of the bleeding mechanism.