高血压脑出血并发消化道出血的临床分析(附179例报告)

Clinical Analysis on Hypertension Encephalorrhagia Complicated by Hemorrhage of Digestive Tract (with 179 cases attached)

对 179例高血压脑出血患者 ,按脑出血的部位、血肿量、有无脑室积血和中线结构移位 ,分别进行比较并发消化道出血的发生率和病死率 .结果表明 :179例中并发消化道出血 4 4例 (2 4 .6 % ) ,死亡 37例 (2 0 .7% ) ;消化道出血发生率以脑基底节区出血并脑室积血为最高 (38.9% ) ,其次依序为蛛网膜下腔、脑干、脑叶、小脑和局限于脑基底节区出血 ;并发消化道出血的病死率为 50 % ,无消化道出血的病死率为 11.1% .脑出血并发消化道出血主要与出血溢入脑室、中线结构移位、血肿量大等因素有关 ,且病死率高 .

According to the position of encephalorrhagia,the quantity of hematoma, and to v entricular hematocele and center-line structure shift’s existence or unexisten c e,the occurence rates and case mor-talities of hypertension encephalorrhagia co m plicated by hemorrhage of digestive tract (HECHDT) are respectively made compari sons among 179 patients with hypertension encephalorrhagia.The results show tha t:44 out of 179 cases are of HECHDT,and 37 out of 179 cases are of death; the oc curence rate of digestive tract hemorrhage resulted from the hemorrhage of cere bral basis segment complicated by ventricle hematocele is the highest,and the se quence of the occurence rates resulted from other position is subarchnoid cavity ,brainstem,cerebral lobes,cerebellum,and within cerebral basis segment’s hemorr hage; the encephalorrhagia complicated by the hemorrhage of digestive tract is m ainly related to the factors of ventricular hematocele,center-line structure sh ift,hematoma quantity etc,and its case mortality is relatively high.