论文部分内容阅读
724例高血压脑出血中有129例并发消化道出血,发生率为17.8%与对照组比较,消化道出血组的脑出血量大,昏迷率高,破入脑室率高,CT扫描证实,脑移位明显。这些因素能使消化道出血的机会增多。消化道出血组病死率为69.0%,对照组为22.2%,差异非常显著。但消化道出血不是病死率高的主要原因,决定预后的关键因素是脑出血的严重性。消化道出血是脑出血病情严重及预后不良的标志。及时留置胃管胃液监测,应用抗酸剂及H2受体阻断剂,保持胃液PH值在适当范围,可达到预防和有效治疗消化道出血的目的
129 out of 724 cases of hypertensive intracerebral hemorrhage had gastrointestinal bleeding, the incidence rate was 17.8%. Compared with the control group, the amount of cerebral hemorrhage in the gastrointestinal bleeding group was high, the coma rate was high, the ventricular rate was broken, and CT scan confirmed , Brain displacement obvious. These factors can increase the chances of gastrointestinal bleeding. Gastrointestinal bleeding mortality was 69.0% in the control group was 22.2%, the difference was significant. However, gastrointestinal bleeding is not the main reason for high mortality, the key factor in determining the prognosis is the severity of cerebral hemorrhage. Gastrointestinal hemorrhage is a sign of severe cerebral hemorrhage and poor prognosis. Time gastric indwelling gastric juice monitoring, the application of antacids and H2 receptor blockers, to maintain gastric juice PH value in the appropriate range, to achieve the purpose of prevention and effective treatment of gastrointestinal bleeding