老年人上消化道出血常见于消化性溃疡、食管静脉曲张破裂出血、胃癌等,但由中风等严重疾患、中毒、外伤等引起的应激性溃疡出血等并非罕见。有研究显示,上消化道出血并发急性脑梗塞病症多发于老年人。发生上消化道大出血并发脑梗塞的机制包括:①随着年龄的增长,动脉壁粥样硬化、管腔狭窄的发生率增加,在合并高血压、高血脂、冠心病、糖尿病等的情况下,这种变化更为显著,形成脑梗塞的病变基础。发生上消 Upper gastrointestinal bleeding in elderly common in peptic ulcer, esophageal variceal bleeding, gastric cancer, but by stroke and other serious diseases, poisoning, trauma caused by stress ulcer bleeding is not uncommon. Studies have shown that upper gastrointestinal bleeding complicated by acute cerebral infarction in the elderly. The mechanism of upper gastrointestinal bleeding associated with cerebral infarction include: ① with age, arterial wall atherosclerosis, the incidence of stenosis increased, in the case of hypertension, hyperlipidemia, coronary heart disease, diabetes, etc., This change is more significant, forming the basis of the lesion of cerebral infarction. Occurred on the consumer