摘要
目的探讨高血压脑出血的出血部位、出血量与消化道出血发生率及预后的关系。方法对96例脑出血患者的临床表现、出血部位、出血量、血糖、治疗方法进行分析。结果上消化道出血发生率分别为壳核出血组36.46%,丘脑出血组32.29%,脑干出血组13.54%,脑叶出血组17.71%。高血压脑出血合并上消化道出血组病死率为43.75%。结论脑出血合并上消化道出血常见丘脑、脑干等部位病变,且出血量大者发生率高,脑出血并上消化道出血提示预后不良,病死率高。
Objective To explore the relations between the cerebral hemorrhage position as well as volume and the incidence and prognosis of the digestive tract hemorrhage in hypertension patients. Methods The hemorrhage position, volume, fasting plasma glucose imaging characteristics in 96 cerebral hemorrhage patients were collected and analyzed. Results Incidence of digestive tract hemorrhage： putaminal hemorrhage was 36. 46%, 32. 29% in thalamic hemorrhage, 13. 54% in brain stem hemorrhage, 11.46% in cerebellar hemorrhage, 6. 25% in lobar cerebral hemorrhage. The mortality of digestive tract hemorrhage was 43. 75 %. Conclusion The cerebral hemorrhage occurred in thalamus and brain stem area is frequently complicated with subsquent digestive tract hemorrhage, large volume hemorrhage may contribute to complication. In addition the presence of digestive tract hemorrhage may indicate bad prognosis with high mortality.
出处
《中国实用神经疾病杂志》
2009年第3期15-17,共3页
Chinese Journal of Practical Nervous Diseases
关键词
脑出血
上消化道出血
临床分析
Cerebral hemorrhage
Upper digestive tract hemorrhage
Clinical analysis
