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目的探讨影响重症脑出血并发胃肠衰竭的主要因素的临床研究。方法回顾分析我科2008年4月-2011年4月收治的重症脑出血156例,根据是否发生胃肠衰竭分成胃肠衰竭组和非胃肠衰竭组,从患者既往史、就诊时出血量、出血部位、意识状态、及胃肠衰竭发生时间与病死率的关系几方面比较分析。结果观察组与对照组相比较,在既往史及意识障碍方面无差异(P>0.05);而脑叶出血量观察组明显高于对照组,丘脑出血出现胃肠衰竭的例数显著高于对照组(P<0.05)。死亡发生百分比观察组为52.2%,对照组为0.9%,两者比较P<0.01。结论重症脑出血并发胃肠衰竭与发病时的脑叶及丘脑出血情况、意识障碍程度有关,与既往史及意识障碍无关。胃肠衰竭组死亡率较高,表明胃肠衰竭的出现预示存在脑出血预后不良倾向。
Objective To investigate the main factors influencing severe cerebral hemorrhage complicated with gastrointestinal failure. Methods A retrospective analysis of our department from April 2008 to April 2011 admitted 156 cases of severe intracerebral hemorrhage, according to whether the occurrence of gastrointestinal failure into gastrointestinal failure group and non-gastrointestinal failure group, from the patient’s past history, bleeding during treatment, Bleeding site, state of consciousness, and the relationship between the time of occurrence of gastrointestinal failure and mortality were compared. Results Compared with the control group, the observation group had no difference in the past history and disturbance of consciousness (P> 0.05), while the observation group of the amount of cerebral lobe bleeding was significantly higher than that of the control group. The incidence of gastrointestinal failure in the thalamic hemorrhage group was significantly higher than that of the control group Group (P <0.05). The percentage of death was 52.2% in the observation group and 0.9% in the control group, P <0.01. Conclusions Severe cerebral hemorrhage complicated with gastrointestinal failure is related to the incidence of cerebral lobe and thalamic hemorrhage, the degree of disturbance of consciousness, and has nothing to do with the past history and disturbance of consciousness. Gastrointestinal failure group mortality higher, indicating that the emergence of gastrointestinal failure indicates the presence of adverse prognosis of cerebral hemorrhage.