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消化道出血是脑出血的常见并发症,属颅脑疾患引起的急性应激性溃疡。本文收集了脑出血219例,其中并发消化道出血39例,占18％。现报告如下。1 临床资料 本组39例中,男25例,女14例;年龄44～80岁,平均58.5岁。有高血压病史36例,冠心病12例,糖尿病1例。既往无胃十二指肠溃疡。消化道出血症状为呕吐咖啡样胃液20例,便血8例,余者均为合并出现;最早发生在脑出血后4小时,最晚发生在脑出血3周,以脑出血后1周多见(26例,占66.7％),临床表现有意识障碍30例(76.9％),
Gastrointestinal hemorrhage is a common complication of cerebral hemorrhage, which is caused by brain disorders acute stress ulcer. This article collected 219 cases of cerebral hemorrhage, including 39 cases of gastrointestinal bleeding, accounting for 18%. The report is as follows. 1 Clinical data The group of 39 cases, 25 males and 14 females; aged 44 to 80 years, mean 58.5 years old. There are 36 cases of history of hypertension, coronary heart disease in 12 cases, 1 case of diabetes. Past no gastroduodenal ulcer. Gastrointestinal bleeding symptoms were vomiting, 20 cases of coffee-like gastric juice, blood in 8 cases, the remaining were merged; the earliest occurred in 4 hours after intracerebral hemorrhage, the latest occurred in cerebral hemorrhage for 3 weeks to more than 1 week after intracerebral hemorrhage more common 26 cases, accounting for 66.7%), clinical manifestations of 30 cases (76.9%) of disturbance of consciousness,