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急性脑血管疾病并应激性溃疡出血临床上较常见,它的出现,使病情进一步加重和复杂,治疗上亦较困难。我院于近5年来应用洛赛克静脉注射治疗急性脑血管病并应激性溃疡出血32例,取得较满意疗效,现报道如下。 1 临床资料 1.1 病例选择 64例急性脑血管病并应激性溃疡出血均为住院患者,均符合应激性溃疡出血的诊断标准。随机分为2组,洛赛克组(下称治疗组)32例,男21例,女11例;年龄40～75岁,平均60.3岁。脑出血18例,脑梗塞14例,出血量450～1100ml;泰胃美组(下称对照组)32例,男23例,女9例;年龄39～74岁,平均59.6岁。脑出血17例,脑梗塞15例,出血量460～1050ml。
Acute cerebrovascular disease and stress ulcer bleeding are more common in clinical practice, its appearance, so that the disease further aggravate and complicated, the treatment is also more difficult. Our hospital in the past 5 years, the application of intravenous injection of Losec in the treatment of acute cerebrovascular disease and stress ulcer hemorrhage in 32 cases, to obtain more satisfactory efficacy, are reported below. 1 Clinical data 1.1 Case Selection 64 cases of acute cerebrovascular disease and stress ulcer bleeding are hospitalized patients, all in line with the diagnostic criteria of stress ulcer bleeding. Randomly divided into two groups, Losec group (hereinafter referred to as the treatment group) 32 cases, 21 males and 11 females; aged 40 to 75 years, mean 60.3 years. 18 cases of cerebral hemorrhage, 14 cases of cerebral infarction, bleeding 450 ~ 1100ml; Thai Weimei group (hereinafter referred to as control group) 32 cases, 23 males and 9 females; aged 39 to 74 years, mean 59.6 years. 17 cases of cerebral hemorrhage, cerebral infarction in 15 cases, the amount of bleeding 460 ~ 1050ml.