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目的分析脑出血合并消化道出血的发病原因,探讨有效治疗方法。方法选择2001年3月～2011年6月我院收治的452例脑出血患者中120例合并上消化道出血的临床资料,采用保守治疗方法,观察其治疗效果。结果 452例脑出血患者中,120例合并上消化道出血,发生率为26.55%;治愈5例,好转17例,总有效率为18.33%;85例患者死亡(70.83%),13例患者恶化或无变化,总无效率高达81.67%;结论脑出血合并上消化道出血是一种病死率极高的高危疾病,保守治疗预后较差,对有手术指征的患者应采取外科、内科综合治疗的方法,最大限度地提高治愈率。
Objective To analyze the etiopathogenesis of cerebral hemorrhage complicated with gastrointestinal bleeding and discuss the effective treatment. Methods From March 2001 to June 2011, 452 cases of cerebral hemorrhage admitted to our hospital from 120 patients with upper gastrointestinal bleeding clinical data, the use of conservative treatment to observe the treatment effect. Results Among the 452 patients with cerebral hemorrhage, 120 cases had upper gastrointestinal bleeding, the incidence rate was 26.55%. Five cases were cured and 17 cases improved. The total effective rate was 18.33%. 85 patients died (70.83%) and 13 patients were deteriorated Or no change, the total inefficiency as high as 81.67%; Conclusion ICH with upper gastrointestinal bleeding is a high mortality rate of high-risk disease, conservative treatment prognosis is poor, for patients with surgical indications should be taken surgical, medical comprehensive treatment Approach to maximize the cure rate.