CAJ | 학술논문

目的：探讨急性脑卒中并发上消化道出血的相关危险因素。方法收集49例急性脑卒中并上消化道出血患者（观察组）及90例未合并上消化道出血急性脑卒中患者（对照组）的临床资料，分析2组饮酒、消化道疾病史、脑卒中类型、病变部位、病情程度等。结果观察组饮酒、消化道疾病史、出血性脑卒中、丘脑出血、脑出血破入脑室、大面积脑梗死及严重的脑卒中发生率明显高于对照组，差异有统计学意义（ P＜0.05）。结论急性脑卒中并发上消化道出血与消化道疾病史、脑卒中类型、病变部位、病情危重程度等危险因素相关。
목적：탐토급성뇌졸중병발상소화도출혈적상관위험인소。방법수집49례급성뇌졸중병상소화도출혈환자（관찰조）급90례미합병상소화도출혈급성뇌졸중환자（대조조）적림상자료，분석2조음주、소화도질병사、뇌졸중류형、병변부위、병정정도등。결과관찰조음주、소화도질병사、출혈성뇌졸중、구뇌출혈、뇌출혈파입뇌실、대면적뇌경사급엄중적뇌졸중발생솔명현고우대조조，차이유통계학의의（ P＜0.05）。결론급성뇌졸중병발상소화도출혈여소화도질병사、뇌졸중류형、병변부위、병정위중정도등위험인소상관。
Objective To explore the related dangerous factors of acute cerebral stroke combined with upper gastrointesti-nal hemorrhage.Methods By investigated the clinical data of 49 cases of acute cerebral stroke combined with upper gastrointes-tinal hemorrhage(Observation group)and 90 cases of acute cerebral stroke with no upper gastrointestinal hemorrhage in hospital (Control group) ,we retrospectively analyzed such aspects as drinking ,history of digestive tract diseases ,the type of cerebral apoplexy ,the position of pathological changes and the degree of the illness.Results The rates of alcohol consumption ,history of gastrointestinal disease ,hemorrhagic stroke ,thalamic hemorrhage ,cerebral hemorrhage broken into ventricles ,massive cer-ebral infarction and severe stroke incidence in the observation group was significantly higher than that of the control group ,the difference was statistically significant (P<0.05).Conclusion Acute cerebral stroke combined with upper gastrointestinal hem-orrhage was correlated with history of digestive tract diseases ,the type of cerebral stroke ,the position of pathological changes and the degree of the illness.