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目的分析上消化道出血与急性脑梗死的联系以及相关特点。方法 34例上消化道出血合并急性脑梗死患者作为研究对象,收集所有患者的相关临床资料,探讨分析上消化道出血与急性脑梗死的联系与临床特点。结果 34例患者出现上消化道出血的原因:肝硬化引起出血15例,占44.12%;消化性溃疡引起出血11例,占32.35%;胃癌引起出血5例,占14.71%;由其他胃黏膜病变引起出血患者3例,占8.82%。患者出血量最多者出血总量约为2000 ml,出血量最少者约为300 ml,平均出血量为(971.83±408.65)ml。其中出血量<1000 ml的患者18例,占52.94%;出血量≥1000 ml的患者16例,占47.06%。11例患者因为出血量过多,导致其出现失血性休克症状。经过本院医护人员的全力救治和精心治疗后,18例患者最终康复出院,10例患者遗留有神经系统功能障碍,6例患者经抢救无效死亡,其治愈率为52.94%,死亡率为17.65%。结论有肝硬化以及动脉硬化相关疾病的上消化道出血患者,容易出现急性脑梗死,且其预后效果较差,死亡率较高。
Objective To analyze the relationship between upper gastrointestinal bleeding and acute cerebral infarction and its related features. Methods A total of 34 patients with upper gastrointestinal bleeding and acute cerebral infarction were enrolled in this study. The clinical data of all patients were collected to investigate the relationship and clinical features of upper gastrointestinal bleeding and acute cerebral infarction. Results The causes of upper gastrointestinal bleeding in 34 patients were as follows: cirrhosis caused by hemorrhage in 15 cases (44.12%), peptic ulcer bleeding in 11 cases (32.35%), gastric cancer caused by bleeding in 5 cases (14.71%), gastric mucosal lesions 3 cases of bleeding caused by patients, accounting for 8.82%. Patients with the largest amount of bleeding bleeding is about 2000 ml, the least amount of bleeding is about 300 ml, the average amount of bleeding was (971.83 ± 408.65) ml. Among them, 18 patients (<52.94%) had hemorrhage <1000 ml, and 16 patients (47.06%) had hemorrhage≥1000 ml. Eleven patients suffered from hemorrhagic shock due to excessive bleeding. After the hospital medical staff’s full treatment and meticulous treatment, 18 patients eventually recovered and discharged, 10 patients left with nervous system dysfunction, 6 patients died of rescue failure, the cure rate was 52.94%, the mortality rate was 17.65% . Conclusions Patients with cirrhosis and arteriosclerosis-related upper gastrointestinal bleeding are prone to acute cerebral infarction with poor prognosis and high mortality.