脑出血合并应激性溃疡的临床分析

Clinical Analysis of Cerebral Hemorrhage Complicated With Stress Ulcer

目的 探讨脑出血合并应激性溃疡的防治措施。方法 对本院重症监护室2011年1月~2015年1月收治的51例脑出血患者的临床资料进行回顾性分析。结果 脑出血发生应激性溃疡24例,其中24 h发生的10例,死亡13例。无应激上消化道出血27例,死亡6例,两组在病死率方面差异有统计学意义（P〈0.05）。结论 脑出血后应激性溃疡的发生率升高,是致死的重要并发症,早期积极的防治能够提高患者的生存率。

Objective To explore the prevention and treatment measures of cerebral hemorrhage complicated with stress ulcer. Methods The clinical data of 51 patients with cerebral hemorrhage treated in our hospital from to January 2011 to January 2015,were retrospectively analyzed. Results There were 24 cases of stress ulcer,10 cases occurred in 24 hours,13 cases died. There were 27 cases of gastrointestinal bleeding,6 cases of death. The difference in mortality between the two groups was statistically significant（P〈0.05）. Conclusion The incidence of stress ulcer after intracerebral hemorrhage is high,and it is an important complication of death. Early active prevention and treatment can improve the survival rate of patients.