脑血管疾病(AVCD)急性期并发上消化道出血的临床研究

Clinical study of acute phase of cerebrovascular disease(AVCD) with upper gastrointestinal bleeding

目的:探讨ACVD急性期并发上消化道出血的时间与其相关因素的关系,以选择合适的治疗决策。方法:将ACVD并上消化道出血的病例分为三个阶段,通过对每个阶段原发病、病情轻重程度及死亡率高低的分析。结果:急性早期ACVD并上消化道出血由病情轻重程度和病变部位决定,以脑出血多见,年龄偏轻,预后差,死亡率高;急性晚期与年龄、动脉硬化程度及医源因素有关,病情常隐匿,预后较好,治疗关键在预防;急性中期介于两者之间,药物治疗为主,应积极保守治疗。结论:急性早期ACVD并上消化道出血预后差,死亡率高,关键是积极治疗原发病;急性中期药物治疗效果好,关键是积极治疗和预防;急性晚期预后好,关键是预防。

Objective:To explore relationship between time of ACVD with upper gastrointestinal bleeding and related factors.Methods:All ACVD patients with upper gastrointestinal bleeding divided into three stages,compared the difference among cause severity and mortality of the disease.Results: Early stage of ACVD with upper gastrointestinal bleeding was determined by severity and location of the disease,cerebral bleeding was more common,younger age,wore prognosis,higher mortality;Late stage of ACVD with upper gastroin...