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本组5例脑出血病人年龄60～70岁,其中3例因大出血后,血压突然下降死亡,其它2例只见有呕咖啡色胃内容物和便血。发生时间最早在发病后3小时,一般多在一周内发生,患者发生大呕血时伴有恶心、呕吐呈喷射状向外喷出,昏迷患者呕出物可被返流吸入呼吸道导致窒息死亡。脑出血患者并发应激性溃疡,多伴有中枢性高热,昏迷逐渐加深,其他缺少临床症状,体征,往往在发生消化道出血后,才被发现,提示病情加
The group of 5 patients with cerebral hemorrhage aged 60 to 70 years, of which 3 died of sudden drop in blood pressure after bleeding, the other two patients saw vomiting brown stomach contents and blood in the stool. Occurred at the earliest onset of 3 hours, usually more than a week occurred in patients with hematemesis associated with nausea, vomiting was jet-like outward discharge, coma vomit can be inhaled into the respiratory tract asphyxiation death. Patients with cerebral hemorrhage complicated with stress ulcers, accompanied by central fever, coma gradually deepened, the other lack of clinical symptoms and signs, often after the occurrence of gastrointestinal bleeding, was found, suggesting that the disease plus