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目的探讨高血压脑出血(HICH)合并上消化道出血患者的临床特点。方法 66例HICH合并上消化道出血患者作为甲组,同期66例HICH患者作为乙组。对比两组不同出血部位发病率与治疗情况。结果甲组丘脑、脑干部位发病率(22.73%、15.15%)高于乙组,脑叶部位发病率(3.03%)低于乙组(P<0.05)。甲组治愈率(7.58%)低于乙组,死亡率(62.12%)高于乙组(P<0.05)。结论基底节壳核为脑出血主要发病部位,且同HICH患者相比,HICH合并上消化道出血患者治愈率更低,死亡率更高。
Objective To investigate the clinical features of hypertensive intracerebral hemorrhage (HICH) complicated with upper gastrointestinal bleeding. Methods Sixty-six patients with HICH complicated with upper gastrointestinal bleeding were selected as Group A and 66 HICH patients as Group B in the same period. The incidence and treatment of two different hemorrhagic sites were compared. Results The incidence of thalamus and brain stem in group A was higher than that in group B (22.73%, 15.15%). The incidence of brain lobe was lower than that in group B (3.03%) (P <0.05). The cure rate of group A (7.58%) was lower than that of group B, the mortality rate (62.12%) was higher than that of group B (P <0.05). Conclusions The basal ganglion nucleus is the main site of cerebral hemorrhage. Compared with HICH patients, HICH with upper gastrointestinal bleeding has a lower cure rate and higher mortality.