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目的:探讨高血压脑出血患者急性胃粘膜病变的发生情况。方法:分析31例高血压患者脑出血的部位、出血量及并发上消化道出血时的临床表现及相应治疗。结果:脑出血部位,亮核13例、丘脑12例、脑叶4例、桥脑1例、小脑1例。出血量平均14.8ml。并发急性胃粘膜病变时多表现为呕血和/或黑便,出血量大时可发生休克,治疗给予制酸剂、止血剂等,有效率为77.4％。结论:对并发急性胃粘膜病变的高血压脑出血病人应早期使用H_2受体拮抗剂或奥美拉唑减少病死率。
Objective: To investigate the incidence of acute gastric mucosal lesions in patients with hypertensive intracerebral hemorrhage. Methods: The location of cerebral hemorrhage, the amount of bleeding and the clinical manifestations and corresponding treatment in patients with hypertension were analyzed. Results: There were 13 cases of ICH, 12 cases of bright nucleus, 12 cases of thalamus, 4 cases of lobe, 1 case of pontine and 1 case of cerebellum. The average amount of bleeding 14.8ml. Complications of acute gastric mucosal lesions showed more vomiting and / or melena, bleeding can occur when the shock, the treatment given antacids, hemostatic agents, the effective rate was 77.4%. Conclusion: H 2 receptor antagonists or omeprazole should be used to reduce the mortality of patients with hypertensive intracerebral hemorrhage complicated with acute gastric mucosal lesions.