【摘要】 目的探讨上消化道大出血并发急性脑梗塞的临床特点.方法对22例急性上消化道大出血患者的临床特点进行分析.结果本组22例患者中消化性溃疡14例,应激性糜烂出血4例,胃癌3例,消化道血管畸形1例,均为非食道静脉性曲张性出血,平均年龄64.5岁;18例(82%)伴有高脂血症、高血压病、冠心病、糖尿病;梗塞多发生在出血后约3d,大部分位于基底节区及大脑皮层区.结论对消化道大出血的高龄患者,尤其是伴有与动脉硬化相关因素者要警惕近期发生脑梗塞的危险,治疗应以尽早扩容,抑制胃酸为主,禁用抗纤溶药物.更多还原

【Abstract】 Objective To investigate the clinical characteristics of upper gastrointestinal hemorrhage (UGH)complicated with acute cerebral infarction(ACI).Method Clinical characteristics of 22 patients with Non-varicose UGH complicated with ACI were analyzed.Results The average age of 22 patients was 64.5 years old.UGH was due to acute erosive gastritis in 4 cases,peptic ulcer 14 cases,gastric cancer 3cases,peptic vascular malformation 1 cases,all were Non-varicose upper gastrointestinal hemorrhage.18 patients(82%) were associated with hypertension,hyperlipidemia,coronary heart disease or diabetes mellitus.The occurrence of ACI was highest about 3 days after UGH.Conclusions For senile UGH patients especially those with correlation factor of arteriosclerosis,the risk of ACI should be on the alert.Volume expansion therapy and acid suppression therapy should be treated as early as possible,Antifibrinolvtic agents should not be administrated.更多还原