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目的了解急性脑卒中患者并发上消化道出血的临床特点。方法对42例急性脑卒中并发上消化道出血患者的情况进行回顾性分析。结果经过治疗与半年的随访,42例重症脑卒中急性期并消化道出血患者存活35例,死亡7例,存活率为83.3%。结论重症脑卒中并发应激性上消化道出血发生率较高且预后差,尤其是大面积病变及脑干病变,病死率更高,应引起临床医生高度重视。
Objective To understand the clinical features of patients with acute stroke complicated by upper gastrointestinal bleeding. Methods A retrospective analysis of 42 patients with acute stroke complicated with upper gastrointestinal bleeding was performed. Results After treatment and six months of follow-up, 42 patients with severe acute stroke and gastrointestinal bleeding survived 35 cases and 7 died, the survival rate was 83.3%. Conclusions The incidence of upper gastrointestinal bleeding complicated by severe stroke is high and the prognosis is poor. Especially for large area lesions and brainstem lesions, the mortality rate is higher, which should be paid more attention to by clinicians.