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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。
In this paper, 386 elderly patients with acute cerebrovascular disease complicated by upper gastrointestinal bleeding were analyzed. The results showed that the incidence rate was 15.6% and the case fatality rate was 32.6%, which was significantly higher than the ACVD mortality rate of patients without upper gastrointestinal bleeding (P <0.01). The reasons for the high mortality in this article are related to the type of ACVD, upper gastrointestinal bleeding, and chronic diseases. The mortality rates were 38.9% for cerebral embolism, 38.8% for cerebral hemorrhage, 24.8% for cerebral thrombosis, 14.3% for subarachnoid hemorrhage, 16.7% for small amount of bleeding, 64.9% for middle dose, 75.0%; 2 chronic diseases 6.4%, 3 27.4%, 4 82.7%, 5 and above 100%. After the onset of these factors, if not caused due attention and treatment, increase mortality.