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目的探讨脑卒中并消化道出血临床特点及治疗措施。方法回顾分析60例患者的临床资料。结果本组60例经治疗,死亡21例;其中死于脑疝9例,多脏器功能衰竭12例;其中与消化道出血有直接关系者18例。结论消化道出血是重症急性脑卒中患者常见的并发症之一,是机体因中枢神经系统损害而产生的应激反应,其病情凶险,临床一定要警惕,一旦发生出血,应争取早发现,早诊治,在治疗原发病的基础上采用综合治疗,积极改善患者的预后。
Objective To investigate the clinical features and treatment of stroke and gastrointestinal bleeding. Methods The clinical data of 60 patients were retrospectively analyzed. Results The group of 60 cases were treated, 21 died; of which 9 died of herniation, multiple organ failure in 12 cases; of which 18 cases were directly related to gastrointestinal bleeding. Conclusions Gastrointestinal hemorrhage is one of the most common complication in patients with severe acute stroke. It is a stress response of the body due to central nervous system damage. Its condition is dangerous and clinical must be vigilant. In the event of bleeding, early detection and early Diagnosis and treatment, in the treatment of primary disease based on the use of comprehensive treatment, and actively improve the prognosis of patients.