急性脑卒中并发应激性溃疡17例临床分析

Clinical analysis on 17 cases of acute stroke patients complicated with stress ulcer

目的探讨急性脑卒中患者并发应激性溃疡的诊治特点。方法回顾性分析17例脑卒中并发应激性溃疡患者的临床资料。结果 17例患者中,9例临床治愈,7例明显好转,1例死亡,出血性脑卒中发生应激性溃疡的概率较高。结论脑出血患者更易发生应激性溃疡,尤其对于年老、曾有胃肠道疾病患者应实施预防性治疗,防止应激性溃疡发生。

Objective To investigate the diagnostic idea and treatment of acute stroke patients complicated with stress ulcer. Methods Retrospecively analyzed the clinical data of 17 cases of acute stroke patients complicated with stress ulcer. Results The incidence of stress ulcer in cases with hemorrhagic stroke was significantly higher than in those with cerbral infarction. 9 cases were cured, 7 cases were markedly relieved, 1 cases died. Conclusion Stress ulcer is apt to occur for older patents with cerebral hemorrhage. Prophylactic treatment should be taken for older patients with gastrointestinal tract disease so as to Prevente stress ulcer.