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临床和实验的资料证实,大脑病损和胃肠道急性变化有因果关系。作者对177例急性卒中患者(75例脑出血、54例脑梗死和48例蛛网膜下腔出血)作胃内窥镜检查研究。男126例,女51例,年龄29～81岁。全部于卒中后16天内,78％于3天内入院。全部患者均在发作后2～3周内作胃内窥镜检查,多数在发作后1周内作首次胃内窥镜检查;88例检查1次,89例检查过数次。对所有患者均据颈动脉及/或椎动脉血管造影的阳性发现作卒中的分型诊断。结果:92例(52％)有胃的变化:10例急性溃疡,9例多发性糜烂,63例瘀点和10例有纤维蛋白网的急性糜烂。
Clinical and experimental data confirm that there is a causal relationship between brain lesions and acute changes in the GI tract. The authors performed gastric endoscopy on 177 acute stroke patients (75 with cerebral hemorrhage, 54 with cerebral infarction and 48 with subarachnoid hemorrhage). 126 males and 51 females, aged 29 to 81 years old. All within 16 days after stroke, 78% were admitted within 3 days. All patients underwent gastric endoscopy within 2 to 3 weeks after the onset of attack, most of whom underwent the first gastric endoscopy within 1 week after the onset of attack. One of 88 patients was examined once and 89 patients were examined several times. All patients were classified according to the positive findings of carotid and / or vertebral artery angiography. Results: 92 cases (52%) had gastric changes: 10 cases of acute ulcer, 9 cases of multiple erosions, 63 cases of petechia and 10 cases of acute erosion with fibrin network.