386例老年人急性脑血管病并发上消化道出血临床分析

Clinical Analysis on 386 Cases of Acute Cerebrovascular Diseases with Upper Gastrointestinal Bleeding in Elderly

本文对386例老年人急性脑血管病并发上消化道出血的临床资料进行分析。结果表明：其发病率为15．6％，病死率32．6％，显著高于未并发上消化道出血的ACVD病死率（P＜0．01）。本文病死率高的原因与ACVD的类型、上消化道出血量、慢性疾病有关。病死率依次为脑栓塞38.9％，脑出血38．8％，脑血栓形成24．8％，蛛网膜下腔出血14．3％；小量出血16．7％，中量64．9％，大量75．0％；患2种慢性疾病6．4％，3种27．4％，4种82．7％，5种及以上为100％。发病后，以上因素若不引起应有的重视和处理，可增加死率。

386 cases of acute cerebrovascular diseases (ACVD) with upper gastrointestinal bleeding in elderly were analysised. The results showed that the incidence of disease was 15.6% and the mortality was 32.6%. The mortality in ACVD with upper gastrointestinal bleeding group was significantly higher than that in AVCD with upper gastrointestinal unbleeding group (P < 0.01). The cause of high mortality had relations with type of ACVD, measure of upper gastrointestinal bleeding and amount of chronic disease. The mortality was cerebral embolism hemorrhagn (38.9%), cerebral (38.0%), cerebral thrombosis (24.8%), subarachnoid hemorrhage (14.3%) in sequence. The mortality of small amounts of bleeding was 16.7% moderate amounts of bleeding was 64.9%, and profuse bleeding was 75.0%.The mortality of ACVD with tWo chronic disease was 6.4%, three chmnic disease was 27.4%, four chronic disease was 82.7%, five and over five chroltic disease was 100%. The mortality may be rised, if aforesaid factor shouldn' t pay attention and handie after onset of ACVD with upper gastiointestinal bleeding.