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肝硬化患者并发上消化道出血和急性脑梗塞临床分析
引用本文:郭秀丽,徐有青. 肝硬化患者并发上消化道出血和急性脑梗塞临床分析[J]. 实用肝脏病杂志, 2011, 14(5): 344-345,356. DOI: 10.3969/j.issn.1672-5069.2011.05.010
作者姓名:郭秀丽  徐有青
作者单位:首都医科大学附属北京天坛医院消化内科,北京市,100050
摘    要:
目的探讨肝硬化并发上消化道出血和急性脑梗死的临床特点。方法比较肝硬化上消化道出血并发急性脑梗死与同期肝硬化消化道出血未合并脑梗塞患者的临床特点。结果消化道出血量(x2=24.238,P〈0.01)、脾切除手术(x2=37.10,P〈0.01)、Child-Pugh分级、腹水量(x2=29.002,P〈0.01)、动脉硬化因素和应用强力抗纤溶药物在梗塞组与非梗塞组之间差别明显。结论肝硬化患者在上消化道出血后,应尽早评估并发脑梗塞的危险因素,以预防急性脑梗塞的发生。

关 键 词:肝硬化  上消化道出血  急性脑梗塞

Clinical characteristics of patients with liver cirrhosis complicated by upper gastrointestinal hemorrhage and acute cerebral infarction
GUO Xiuli,XU Youqing. Clinical characteristics of patients with liver cirrhosis complicated by upper gastrointestinal hemorrhage and acute cerebral infarction[J]. Journal of Clinical Hepatology, 2011, 14(5): 344-345,356. DOI: 10.3969/j.issn.1672-5069.2011.05.010
Authors:GUO Xiuli  XU Youqing
Affiliation:GUO Xiuli,XU Youqing.Department of Gastroenterology,Tiantan Hospital,the Capital Medical University,Beijing 100050
Abstract:
Objective To investigate the clinical characteristics of patients with liver cirrhosis complicated by upper gastrointestinal hemorrhage(UGH)and acute cerebral infarction(ACI).Methods The patients with UGH and ACI were compared with those without.Results The risk factors included the amount of gastrointestinal bleeding(x2=24.238,P<0.01),lienectomy(x2=37.10,P<0.01),Child-Pugh scores and ascites(x2=29.002,P<0.01),arteriosclerosis and use of antifibrinolytic agent.Conclusions For the patients with liver cirrhos...
Keywords:Liver cirrhosis  Upper gastrointestinal hemorrhage  Acute cerebral infarction  
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