高血压性脑出血并发上消化道出血的相关因素研究

Related factors research of hypertensive cerebral hemorrhage complicated with upper gastrointestinal hemorrhage

目的:研究高血压性脑出血并发上消化道出血的相关危险因素。方法:回顾性分析高血压脑出血患者214例的临床资料。结果:合并上消化道出血63例。脑干、脑室出血的患者发生上消化道出血的几率明显高于基底节脑出血患者。脑出血量30 m L以上的患者容易并发上消化道出血。结论:出血部位在脑室或是脑干、出血量30 m L以上是高血压脑出血并发上消化道出血的危险因素,患者发病后预后较差,在临床治疗中要注意预防。

Objective:To explore the related risk factors of hypertensive cerebral hemorrhage complicated by upper gastrointestinal hemorrhage.Methods:The clinical data of 214 cases of patients with hypertensive cerebral hemorrhage were analyzed retrospectively.Results:63 cases were complicated by upper gastrointestinal hemorrhage.The patients with brain stem hemorrhage and ventricle hemorrhage had significantly higher risk of upper gastroin testinal hemorrhage than that of patients with basal ganglia hemorrhage.The patients with cerebral hemorrhage volume more than 30 mL were complicated with upper gastrointestinal hemorrhage easily.Conclusion:The bleeding site being ventricle or brain stem,the hemorrhage volume more than 30 mL were the risk factors for hypertension cerebral hemorrhage complicated with upper gastrointestinal hemorrhage,the patients had poor prognosis after onset,which should be paid attention to prevention in the clinical treatment.