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为探讨急性脑血管病并发胃肠道出血的病理学改变,以82例急性脑血管病死亡病历的尸检资料为基础,分析胃肠道出血病人食管、胃和小肠的病理改变。结果表明,82例中,呕吐咖啡样物24例(29.3%),其中2例伴有柏油样便,1例死于失血性休克。24例病理所见表明,引起临床上胃肠道出血的主要病理基础是胃粘膜的糜烂和出血,其它出血原因还有胃溃疡、胃癌和食管-胃底静脉曲张。结论:急性胃粘膜病变是引起急性脑血管病人胃肠道出血的主要病理变化,应常规给予抑酸药物,积极防治胃肠道出血的并发症。
In order to explore the pathological changes of acute cerebrovascular disease complicated with gastrointestinal bleeding, the pathological changes of esophagus, stomach and small intestine in patients with gastrointestinal bleeding were analyzed based on autopsy data of 82 cases of death from acute cerebrovascular disease. The results showed that in 82 cases, vomit coffee samples in 24 cases (29.3%), of which 2 cases with tarry stools, 1 case died of hemorrhagic shock. 24 cases of pathological findings show that the main pathological cause of clinical gastrointestinal bleeding is gastric mucosal erosion and bleeding, and other causes of bleeding gastric ulcer, gastric cancer and esophageal - gastric varices. Conclusion: Acute gastric mucosal lesions are the major pathological changes of gastrointestinal bleeding in patients with acute cerebrovascular disease. Acid-suppressing drugs should be routinely given to prevent and treat gastrointestinal bleeding.