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上消化道出血,低血容量状态下,可合并有脑分水岭梗死,而本组15例均表现为脑基底节梗死,现报告如下。1 临床资料本组15例,男9例,女6例,年龄最大83岁,最60岁。临床表现以呕血,解柏油样便为主的9例;单纯柏油样便者6例。病程2～5天,出血量均大于1000ml。有高血压病史8例,肝硬化病史4例。入院时血压最高120/80mmHg,最低60/20mmHg,Hb最高35g/L,最低20g/L。红细胞压积28%～30%。入院后均用6-氨基已酸6g/d,西米替丁0.8g/d或雷尼替丁0.6g/d静滴。10例使用奥美拉唑40mg/d静注,6
Upper gastrointestinal bleeding, hypovolemia state, may be associated with cerebral watershed infarction, and the group of 15 patients showed cerebral basal ganglia infarction, are as follows. 1 Clinical data The group of 15 patients, 9 males and 6 females, the oldest 83 years old, most 60 years old. Clinical manifestations of hematemesis, asparagus-like solution in 9 cases; simple aspirates in 6 cases. Duration of 2 to 5 days, bleeding greater than 1000ml. There are 8 cases of history of hypertension, history of cirrhosis in 4 cases. Admission of blood pressure up to 120 / 80mmHg, the lowest 60 / 20mmHg, Hb highest 35g / L, the lowest 20g / L. Hematocrit 28% to 30%. Admitted with 6-aminocaproic acid 6g / d, cimetidine 0.8g / d or ranitidine 0.6g / d intravenous infusion. 10 cases of omeprazole 40mg / d intravenous injection, 6