中国医药科学Issue(5)：211-213,3.
老年性上消化道出血并发低灌注性分水岭脑梗死21例临床观察
Clinical observation of senile upper gastrointestinal bleeding combined with watershed cerebral infarction of low perfusion in 21 patients
石巍1
作者信息
- 1. 辽宁省阜新市细河区医院消化内科，辽宁阜新 123000
- 折叠
摘要
Abstract
Objective To study the pathogenesis and incidence of senile upper gastrointestinal bleeding combined with watershed cerebral infarction of low perfusion,to summarize the clinical characteristics and treatment experience. Methods 21 patients with senile upper gastrointestinal bleeding combined watershed cerebral infarction of low perfusion who were cured in the hospital were followed the clinical tracks and analyzed.ResultsWhen the blood loss of upper gastrointestinal bleeding was more than 1000mL,there would appeared acute haemorrhagic peripheral circulatory failure,touched off the sharply falling of hemoperfusion in brain tissue and cell hypoxia.Senile patients who had the pathological basis of diabetes mellitus,atherosclerosis,and blood hyperviscosity syndrome, were easy formed acute watershed cerebral infarction of low perfusion.Conclusion Upper gastrointestinal hemorrhage which is clinical critical illness should be attended to the prevention in order to improve the prognosis and long-term quality of life. Senile patients with upper gastrointestinal hemorrhage should be supplemented and maintained on blood volume to improve the surrounding circulation,to rescind and avoid the aggravation of the signs of low perfusion,to reduce the occurrence of watershed cerebral infarction and to improve the clinical effect.关键词
老年上消化道出血/低灌注性/分水岭脑梗死Key words
Senile upper gastrointestinal bleeding/Low perfusion/Watershed cerebral infarction分类
医药卫生引用本文复制引用
石巍..老年性上消化道出血并发低灌注性分水岭脑梗死21例临床观察[J].中国医药科学,2015,(5):211-213,3.
