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目的探讨高血压脑出血患者并发应激性溃疡的高危因素、发病机理及防治措施。方法对住院治疗的1015例高血压脑出血患者进行回顾性分析。结果 63例并发应激性溃疡,其中男39例,女24例,60岁以上49例,GCS评分<10分48例。经过积极治疗,痊愈38例,死亡25例,60岁以上老年患者死亡18例,GCS评分<10分患者死亡20例。结论高血压脑出血患者合并应激性溃疡多见于老年患者,男性多于女性,重症脑出血患者发病率高,愈后差。
Objective To investigate the risk factors, pathogenesis and prevention of stress ulcer in patients with hypertensive intracerebral hemorrhage. Methods A total of 1015 hypertensive intracerebral hemorrhage patients who underwent hospitalization were retrospectively analyzed. Results 63 cases of concurrent stress ulcer, including 39 males and 24 females, 49 cases over the age of 60, GCS score <10 points in 48 cases. After active treatment, 38 cases were cured, 25 cases died, 18 cases of elderly patients over 60 years of age, 20 cases of GCS score <10 patients died. Conclusions Hypertensive intracerebral hemorrhage complicated with stress ulcer is more common in elderly patients than in females. The incidence of severe cerebral hemorrhage is high and the prognosis is poor.