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对 179例高血压脑出血患者 ,按脑出血的部位、血肿量、有无脑室积血和中线结构移位 ,分别进行比较并发消化道出血的发生率和病死率 .结果表明 :179例中并发消化道出血 4 4例 (2 4 .6 % ) ,死亡 37例 (2 0 .7% ) ;消化道出血发生率以脑基底节区出血并脑室积血为最高 (38.9% ) ,其次依序为蛛网膜下腔、脑干、脑叶、小脑和局限于脑基底节区出血 ;并发消化道出血的病死率为 50 % ,无消化道出血的病死率为 11.1% .脑出血并发消化道出血主要与出血溢入脑室、中线结构移位、血肿量大等因素有关 ,且病死率高 .
179 cases of hypertensive intracerebral hemorrhage patients, according to the site of intracerebral hemorrhage, hematoma volume, with or without ventricular hemorrhage and midline structure shift, were compared with the incidence of gastrointestinal bleeding and mortality.Results: 179 cases of concurrent The incidence of gastrointestinal bleeding was basal ganglia hemorrhage and cerebral hemorrhage was the highest (38.9%) in 4 4 cases (24.6%) and death (37.7%), followed by the order For the subarachnoid, brainstem, lobar, cerebellum and confined to the basal ganglia hemorrhage; concurrent gastrointestinal bleeding mortality was 50%, non-gastrointestinal bleeding mortality was 11.1% .Acute cerebral hemorrhage complicated by gastrointestinal bleeding Mainly associated with bleeding overflow into the ventricle, midline structure shift, large amount of hematoma and other factors, and high mortality.