高血压脑出血与消化道出血的关系

目的 探讨高血压脑出血患者脑出血部位、出血量与消化道出血率及病死率的关系.方法 对540例脑出血患者,按脑出血部位、血肿量、有无脑室出血、中线结构移位,分别比较消化道出血率和病死率.结果 合并消化道出血132例（24.4%）,死亡112例（20.7%）.消化道出血发生率分别为脑叶出血组25.4%,小脑出血组17.6%,脑干出血组30.4%,蛛网膜下腔出血组36.7%,脑基底节区出血并脑室出血组37.0%和局限脑基底节区出血组11.5%;病死率脑叶出血组25.4%,小脑出血组11.8%,脑干出血组21.7%.蛛网膜下腔出血组30.0%,脑基底节区出血并脑室出血组35.2%、局限脑基底节区出血组6.9%.合并消化道出血组病死率48.5%,无消化道出血组病死率11.8%.结论 脑出血并消化道出血提示死亡率的增加.应毫不延误地积极治疗.

Relationship between hypertensive cerebral hemorrhage and gastrointestinal bleeding

Objective To investigate the site and amount of bleeding in hypertensive cerebral hemorrhage(HCH) cause the complicatien of gastrointestinal bleeding and the elevation of mortality.Methods We conducted retrospective survey of the data on the site and amount of bleeding in 540 patients with HCH and their incidence of gastrointestinal bleeding and mortality.Results There were 132 cases(22.4%) complicated with gastrointestinal bleeding and 112 cases(20.7%) died.The incidence of gastrointestinal bleeding were 25.4%in lobes bleeding group,17.6?rebellar hemorrhage group,30.4%brain stem hemorrhage group,36.7%subaraachnoid hemorrhage group,37.0% the limited basal ganglia with intraventricular brain hemorrhage group,and 11.5% limited hemorrhage in the basalganglia group.The morality were 25.4%in lobes bleeding group,11.8?rebellar hemorrhage group,21.7%brain stem hemorrhage group,30.0%subarachnoid hemorrhage group,35.2%the limited basal ganglia with intraventricular brain hemorrhage group,and 6.9% limited hemorrhage in the basal ganglia group.The overall morality in the patients with or without gastrointestinal bleeding was 48.5%and 11.8% respectively.Conclusion The gastrointestional bleeding suggest the mortality will be elevaled in the patients with HCH,and active treatment instituted without delay.