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本文的目的在于认识急性脑血管疾病并发胃肠功能衰竭的发生、发展规律,提高临床救治水平。本组急性脑血管病206例,发生胃肠功能衰竭89例,占43.2％。随意识障碍加重胃肠缺血和出血增加。脑梗塞患者中胃肠缺血多于出血。脑出血患者中胃肠出血多于缺血。胃肠缺血可以表现为腹痛、麻痹性肠梗塞、胆囊炎和肝损害,胃肠功能衰竭可能与急性脑血管病时下丘脑神经内分泌功能紊乱密切相关。
The purpose of this article is to recognize the occurrence and development of acute cerebrovascular disease complicated with gastrointestinal failure and improve the clinical treatment. The group of 206 cases of acute cerebrovascular disease, 89 cases of gastrointestinal failure occurred, accounting for 43.2%. Casual disorder increases gastrointestinal ischemia and increased bleeding. Gastrointestinal ischemia in patients with cerebral infarction more than bleeding. Gastrointestinal bleeding in patients with cerebral hemorrhage than in ischemia. Gastrointestinal ischemia can be manifested as abdominal pain, paralytic ileus, cholecystitis and liver damage, gastrointestinal failure may be associated with acute cerebrovascular disease hypothalamic neuroendocrine dysfunction is closely related.